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VOLUME 49 , ISSUE 5ENG ( October, 2021 ) > List of Articles

Management of Patient with Intraocular Lens Dislocation to the Vitreous Cavity and Intraocular Lens Suture to Sclerawith Scleral Tunnel, Gore-Tex and Cow Hitch Knot

Gabriela LópezCarasa Hernández, Nicolás Crim

Keywords : Dislocated IOL, IOL scleral fixation, Gore-Tex, scleral tunnel, cow hitch knot

Citation Information : Hernández GL, Crim N. Management of Patient with Intraocular Lens Dislocation to the Vitreous Cavity and Intraocular Lens Suture to Sclerawith Scleral Tunnel, Gore-Tex and Cow Hitch Knot. 2021; 49 (5ENG):21-32.

DOI: 10.5005/hoe-10101-49502

Published Online: 12-10-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The objective of this technique is to describe the surgical management of intraocular lens dislocation to the vitreous cavity, as well as the AB scleral fixation technique to suture a posterior chamber intraocular lens (PCIOL) to the ciliary groove with polytetrafluoroethylene monofilament suture (PTFE) CV8 (Gore-Tex), using scleral tunnels and cow hitch knot. There are important advantages that the use of scleral tunnels provides us as well as the use of Gore-Tex suture in these patients, related to comorbidities and long-term results, the use of the cow hitch knot is recommended as it prevents slipping, provides greater rigidity and it provides us with two fixing points in those lenses with an eyelet in the haptic.

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