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Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage.

ABSTRACT: We report two cases of aphakia in whom an intraocular lens (IOL) was intrasclerally fixated through the pars plana to minimize further corneal endothelial damage. A modified lock-and-lead technique was used. A sclerotomy and scleral incision were made 2.5 mm from the limbus. A 24-G catheter needle was used for penetration of the leading haptic, and two ultrathin 30-G needles were used to bury the ends of the haptics. The scleral incision was sutured with 8-0 nylon. Corneal endothelial cells were preserved after surgery. Neither intra- nor postoperative complications were observed. Intrascleral fixation of an IOL through the pars plana effectively minimizes further damage to corneal endothelial cells in select cases.

SUBMITTER: Miyamoto N

PROVIDER: S-EPMC6489085 | biostudies-literature | 2019 Jan-Apr

REPOSITORIES: biostudies-literature

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Intrascleral Fixation of an Intraocular Lens through the Pars Plana Prevents Corneal Endothelial Damage.

Miyamoto Naomi N Yamakawa Momoko M Akimoto Masayuki M

Case reports in ophthalmology 20190101 1

We report two cases of aphakia in whom an intraocular lens (IOL) was intrasclerally fixated through the pars plana to minimize further corneal endothelial damage. A modified lock-and-lead technique was used. A sclerotomy and scleral incision were made 2.5 mm from the limbus. A 24-G catheter needle was used for penetration of the leading haptic, and two ultrathin 30-G needles were used to bury the ends of the haptics. The scleral incision was sutured with 8-0 nylon. Corneal endothelial cells were ...[more]

PMID: 31097945

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