@article{AES4352,
author = {Ping-Hong Lai and Jun Yang and Fang Han},
title = {Using a rigid lens as endocapsular supporting device in cataract surgery for moderate subluxated cataracts},
journal = {Annals of Eye Science},
volume = {3},
number = {6},
year = {2018},
keywords = {},
abstract = {Background: To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery (MSICS) for treating mild-moderate subluxated cataracts.
Methods: In our technique, a single-piece rigid polymethyl methacrylate (PMMA) lens was implanted in the bag following the nucleus removal, with its axis vertical to the zonular dialysis. This endocapsular-implanted IOL stretched the bag and provided sufficient stability and lens centration. This technique was performed in 19 eyes with subluxated cataracts, with zonulysis of ≤120 degree and nuclear sclerosis of grade ≤3. Mean follow-up time was 9.8 months.
Results: All eyes had endocapsular IOL implantation during surgery. Intraoperative extension of the dialysis did not occur in any eye. The IOL was placed in the bag in all but 1 case, in which dislocation of the IOL haptic into the vitreous occurred. Though the IOL was slightly decentered in 3 cases, it kept stable. All patients were asymptomatic.
Conclusions: This approach provides a simplified and practical strategy for surgically managing subluxation with mild-moderate zonular loss.},
issn = {2520-4122}, url = {https://aes.amegroups.org/article/view/4352}
}