Innovative Approach to Reposite Subluxated PMMA IOLs with Eyelets скачать в хорошем качестве

Innovative Approach to Reposite Subluxated PMMA IOLs with Eyelets

Transscleral suture fixation of posterior chamber intraocular lenses (IOLs) is a surgical procedure commonly employed in eyes lacking adequate capsular support. For decades, polypropylene sutures have been the standard for IOL fixation due to their non-biodegradable nature. However, despite their durability, the risk of IOL subluxation or dislocation caused by suture breakage or erosion remains significant, with reported rates ranging from 1.3% to 27.9%. The surgical management of dislocated single-piece rigid polymethylmethacrylate (PMMA) IOLs, particularly those with small eyelets in the haptics, poses unique challenges. These challenges are further compounded by the steep learning curve associated with specialized surgical equipment and techniques. In this context, we present a *modified surgical technique* for the internal refixation of subluxated PMMA IOLs. This innovative approach aims to reduce surgical trauma, enhance stability, and improve outcomes for patients with complex IOL dislocation.