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Eur J Ophthalmol ; 34(3): 884-887, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38115710

RESUMEN

INTRODUCTION: Single-haptic iris-claw intraocular lens (IOL) dislocation is not an uncommon complication. A few different surgical techniques are available for its refixation but usually involve a more invasive approach. We aim to demonstrate an original and simple approach for refixation of single haptic retropupillary iris-claw IOL subluxations. METHODS: We present a case of an 80-year-old male with a single haptic retropupillary iris-claw IOL subluxation in a previously vitrectomized eye. We used a new surgical approach to refix this type of subluxation. RESULTS: This new technique uses only two 30-gauge needles (one of them connected to a viscosurgical device) to re-enclavate the subluxated haptic of the retropupillary iris-claw IOL. By minimising surgical manipulation, the patient's postoperative period was uneventful. CONCLUSIONS: We highlight a new, quick, safe, and unusual surgical approach to single-haptic retropupillary iris-claw IOL dislocation in vitrectomized eyes. Because of its characteristics, we named it the "fencing" IOL repositioning technique.


Asunto(s)
Migracion de Implante de Lente Artificial , Iris , Lentes Intraoculares , Humanos , Masculino , Anciano de 80 o más Años , Iris/cirugía , Migracion de Implante de Lente Artificial/cirugía , Agudeza Visual/fisiología , Reoperación , Implantación de Lentes Intraoculares/métodos , Vitrectomía/métodos , Diseño de Prótesis
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