VT70 : Ab-interno fixation of subluxated IOL Bag complex”.Dr.Sarang Lambat, Dr.Nangia Vinay Kumar B, Dr.Ganesh Pramod Ambekar
Fifty-two year old man reported to us with history of fluctuating vision and diplopia in the right eye since 1 month. He had H/O cataract surgery with IOL implantation with endocapsular ring implantation done in 2014. On examination his BCVA was 6/24p in the RE with a grossly subluxated IOL bag complex. We planned to fix the bag with 2 capsular segments insertion in the bag and subsequent fixation of the segments trans sclerally with 10-0 prolene sutures under preplaced corneoscleral Hoffman pocket. This is an ab-interno fixation without conjunctival incision. Post surgery the IOL bag complex was stable and patient had complete relief of symptoms and vision had improved to 6/12. Managing subluxated capsular bag complex is a challenging surgery due to difficulty in stabilising the floating bag. This technique offers a good stability of the capsular bag and is not very difficult to perform. The video shows a schematic and animated description of the technique.
Leave a Comment