Work

Minimally invasive replacement of a scleral-fixated intraocular lens suture using a sequential pull-through suture exchange

Year: 2025

Type: article

Abstract: Suture loosening and erosion are well-documented and relatively common postsurgical complications of scleral fixated intraocular lens (IOL) implantation. These complications may result in dislocation of the IOL, leading to visual symptoms. In these cases, ophthalmologists perform suture retrieval and replacement through a transscleral, ab externo approach. However, as with any intraocular surgery, there are many risks associated with this procedure including endophthalmitis, inflammation, and retinal detachment. We present a novel technique for scleral suture exchange that bypasses intraocular entry while maintaining surgical efficacy. In short, a sequential pull-through of sutures is performed, allowing the original suture to ultimately be replaced through externalized maneuvers. Overall, this novel technique may provide a safer and more efficient alternative for managing suture-related complications in patients with scleral-fixated IOLs.

Source: Journal of Cataract and Refractive Surgery Online Case Reports

Authors: Sinan Ersan, Hacı Uğur Çelik

Institutions: University of Rochester Medicine, University of Rochester, University at Buffalo, State University of New York

Language: English

Topic: Intraocular Surgery and Lenses

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,000

OpenAlex ID: W4417220347

FWCI:

Cites: 11

Cited by:

Related to: