Report
Bioptics in Sutureless Intrascleral Multifocal Posterior Chamber Intraocular Lens Fixation
Mitrofanis Pavlidis, MD; Diego de Ortueta, MD; Gabor B. Scharioth, MD
Journal of Refractive Surgery
May 2011 - Volume 27 · Issue 5: 386-388
DOI: 10.3928/1081597X-20110106-02
PURPOSE
To present a technique for sutureless fixation of a three-piece,
multifocal, posterior chamber intraocular lens (IOL) in the ciliary sulcus.
METHODS
A 24-year-old woman presented with bilateral subluxation of the
crystalline lens. Two straight sclerotomies were prepared with a 24-gauge
cannula 2.0 mm from the limbus 180° apart from each other. The cannula was
used to create a 2.0- to 3.0-mm tunnel parallel to the limbus starting from the
sclerotomies. The leading haptic of the multifocal IOL was grasped at its tip
with end-gripping, 25-gauge forceps and pulled through the sclerotomy. The
forceps was used to introduce the IOL haptic into the scleral tunnel parallel
to the limbus.
RESULTS
Multifocal posterior chamber IOLs were stable and well centered. No
postoperative complications occurred in the 16-month follow-up period.
Preoperative astigmatism was corrected after IOL implantation with corneal
wavefront-guided laser epithelial keratomileusis.
CONCLUSIONS
Sutureless fixation of multifocal posterior chamber IOL haptics in a
scleral tunnel parallel to the limbus can be successful, resulting in long-term
centration and three-dimensional axial stability for optimal refractive
results. If necessary, postoperative wavefront-guided refractive correction can
be performed to optimize final refraction. [J Refract Surg.
2011;27(5):386-388.]
doi:10.3928/1081597X-20110106-02
ABOUT THE AUTHORS
From Augenzentrum Recklinghausen, Recklinghausen, Germany.
Dr de Ortueta is a consultant to SCHWIND eye-tech-solutions GmbH,
Wetzlar, Germany. The remaining authors have no financial or proprietary
interest in the materials presented herein.
Correspondence: Mitrofanis Pavlidis, MD, Augenzentrum Recklinghausen,
Erlbruch 34-36, 45657 Recklinghausen, Germany. Tel: 49 2361 306970; Fax: 49
2361 3069799; E-mail: pavlidis@uni-muenster.de
Received: May 21, 2010; Accepted: December 9, 2010
Posted online: January 17, 2011
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