Iris Fixation of Unstable Anterior Chamber Intraocular Lenses. Issue 12 (December 2015)

• Record Type: Journal Article
• Authors: Belkin, Avner; Ofir, Shay; Kleinmann, Guy; Assia, Ehud; Segev, Fani
• Is Part Of: Cornea. Volume 34:Issue 12(2015)
• Publication Date: 2015-12
• Subjects: anterior chamber intraocular lens fixation -- iris fixation; Cornea -- Periodicals; Cornea -- Periodicals; Cornée -- Périodiques; 617.719
• DOI: 10.1097/ICO.0000000000000650
• Languages: English
• ISSNs: 0277-3740

Abstract

Abstract : Purpose: To present a surgical approach for the treatment of unstable anterior chamber intraocular lenses (ACIOLs). Methods: We present a series of 8 patients who underwent iris fixation of an unstable open-looped ACIOL associated with progressive corneal damage. The loops of the intraocular lens were firmly fixated to the iris using 9-0 or 10-0 polypropylene sutures. In 2 cases, iris fixation was associated with penetrating keratoplasty. The other cases were performed using a relatively closed-system technique. Results: All procedures were uneventful, with no intraoperative or postoperative complications. Suture fixation effectively prevented anterior–posterior or propelling movement. The ACIOLs in all cases were stable and well centered at the end of follow-up. Conclusions: Fixation of an existing unstable angle-supported ACIOL to the iris is an effective and simple alternative to intraocular lens exchange and posterior chamber fixation.