iris sutured MF IOL скачать в хорошем качестве

iris sutured MF IOL

Suturing 3 piece IOL to the iris A loose IOL in sulcus with some capsule left is a reasonable indication for suturing the the 3 piece IOL haptics to the iris. In this case we have a 3 piece MF IOL which is not stable in the sulcus. Kemp showed in her classic paper that in long eyes the 3 piece IOLs that we have available in the USA are no stable in the sulcus with out capture or iris suture and can cause UGH or become decentered. Kemp PS ...Stability and safety of MA50 intraocular lens placed in the sulcus. Eye (Lond). 2015 Nov;29(11):1438-41. iris fixation of IOL especially with residual capsule to help prevent optic tilt is a very useful technique. A recent JCRS review suggests that it has less post op complications than AC IOL or scleral fixation techniques. Kanclerz P, ..Postoperative complication rates in intraocular lens placement and fixation methods for inadequate capsular bag support: review and meta-analysis. J Cataract Refract Surg. 2025 Mar 1;51(3):257-266. Here we use a sliding knot with 10-0 or 9-0 (prefer) prolene suture with a long curved CTC6L needle to secure the two haptics. Another option is the McCannel technique where you just pull the suture on either slide of the haptic/iris interface through a single paracentesis near the haptics and just tie directly through the paracentesis. would love any comments