Inferior Removal of Dislocated Polymethyl Methacrylate Intraocular Lens and Scleral Refixation in Glaucomatous Eyes

Overview

Journal Ophthalmol Ther

Specialty Ophthalmology

Date 2022 Feb 22

PMID 35190966

Authors

Akihiko Shiraki

Susumu Sakimoto

Yoshinori Oie

Takeshi Soma

Atsuya Miki

Shinichi Usui

Shigeru Sato

Kenji Matsushita

Hirokazu Sakaguchi

Kohji Nishida

Affiliations

Soon will be listed here.

Abstract

Introduction: The aim of this study was to report a technique for the removal of dislocated polymethyl methacrylate (PMMA) intraocular lenses (IOLs) in glaucomatous eyes.

Methods: Dislocated PMMA IOLs were removed from the inferior sclerocorneal incision, and sutureless intrascleral fixation of each IOL was performed to preserve the intact superior conjunctiva and sclera for future trabeculectomy or to maintain a functional filtering bleb of trabeculectomy.

Results: In two cases, the condition of the bleb did not change, while the intraocular pressure improved or did not change after the procedures. IOL fixation was stable with no complications, such as tilt, decentration, or extrication of the IOL haptics.

Conclusion: This procedure of preserving the superior conjunctiva and sclera can maintain the function of the bleb, superior cornea and sclera and may contribute to the success of future trabeculectomy.

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