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Sutureless, closed-chamber technique developed to translocate posterior chamber IOLs
Eye Contact Lens. 2010;36(1):45-48.
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A new procedure introduced to maneuver a posterior chamber IOL from the anterior chamber into the posterior chamber results in improved uncorrected visual acuity, lower IOP and no loss in best corrected visual acuity at 6 months, a study found.
Three patients who underwent posterior chamber IOL implantation in the anterior chamber were included in this study. All patients presented with poor uncorrected vision and high IOP.
The sutureless, closed-chamber technique involves the surgeon maneuvering the posterior chamber IOL inferior haptic from the anterior chamber and into the posterior chamber. The haptic is then exteriorized under the inferior flap and secured after the intrascleral tuck with the help of a surgical fibrin sealant with both haemostatic and adhesive properties, the study authors said.
This fibrin glue-assisted translocation technique seems to be a safe and effective method to manage a misplaced posterior chamber IOL in the anterior chamber, but longer, comparative trials are needed to determine efficacy.
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