Purpose: To describe and evaluate a new method of four point
scleral fixation of foldable intraocular lenses (10Ls) to reduce
the risk of IOL tilt.
Patients and methods: twenty aphakic eyes of 20 patients were
included in the study. Two partial thickness 3mm scleral
grooves were made180 degree apart .A double armed 10-0
prolene suture with a straight needle is sutured to each haptic
of a hydrophobic acrylic IOL. Through a 3.5 mm clear corneal
incision one straight needle was passed to the anterior
chamber, through the pupil to be retrieved via 27 gauge needle
to exit at one end of the groove followed by the other needle at
the other side of the groove. This is repeated on the other side.
The IOL is folded and implanted then the two ends of the
suture are tied to each other and the groove is closed. |
