Safwan Al Bayati
New Vision Eye Center, UAE
Biography
Abstract
Scleral fixation of a posterior chamber intraocular lens (IOL) can be an effective approach using a polytetrafluoroethylene (PTFE; Gore-Tex, W.L. Gore & Associates) suture. (Richard Hoffman) It was hypothesized that four-point fixation of IOL would allow excellent IOL stabilization, while the PFTE material might reduce concerns regarding suture breakage encountered with polypropylene sutures. The technique could easily be paired with: three-port pars plana vitrectomy (PPV), which might be necessary in the setting of a dislocated IOL or retained lens material or using AC maintainer cannula, when we compare scleral fixation with other treatment options like, iris fixation, sutureless scleral fixation (glued IOL) and anterior chamber IOL. Scleral fixation of an IOL with PTFE suture has many advantages like relative ease of insertion and fixation, use of small corneal incisions, Avoidance of iris contact, (theoretically) a lower risk of dislocation. No scleral flap need with Gore-tex suture.