Sutureless scleral fixated three-piece intraocular lens in the management of dislocated capsular bag–capsular tension ring–intraocular lens complex

• Main Authors: Naresh Babu Kannan, Olukorede O Adenuga, Rajan P Renu, Kim Ramasamy
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Journal of Clinical Ophthalmology and Research
• Subjects: capsular bag; capsular tension ring; scleral fixated intraocular lens
• Online Access: http://www.jcor.in/article.asp?issn=2320-3897;year=2020;volume=8;issue=1;spage=35;epage=37;aulast=Kannan

A number of techniques have been described in the management of capsular bag (CB)–capsular tension ring (CTR)-intraocular lens (IOL) dislocation, including pars plana vitrectomy (PPV) with explantation of the CTR and IOL through a corneal section and exchange with a scleral suture-fixated IOL or anterior chamber IOL, and repositioning of the CB–CTR–IOL complex with scleral suture fixation. We describe a technique of managing CB–CTR–IOL dislocation which involves PPV with CTR removal and sutureless scleral fixation of the same three-piece IOL. This was performed in two patients with good visual outcome and well-centered IOLs postoperatively.