Motorized injector-assisted intrascleral intraocular lens fixation

Jia-Horung Hung, Shih Hao Wang, Yu Ti Teng, Sheng-Min Hsu

Research output: Contribution to journalArticle

Abstract

For eyes with deficient capsular support, intraocular lens (IOL) implantation has long been a technical challenge. Recently, intrascleral fixation of the haptics of a three-piece posterior chamber IOL has become a popular option. In this procedure, externalization of the leading haptic during IOL injection is a stressful step. We present a modified technique to improve the ease and safety of this step. Our modified technique involves IOL injection with a motorized injector with several important modifications described here. With these modifications, a surgeon can easily maintain the correct orientation of the IOL in a well-controlled manner during IOL injection. The records of 13 patients who underwent this technique were retrospectively evaluated. Corrected-distance visual acuity improved significantly after surgery (p < 0.05). No postoperative retinal detachment, endophthalmitis, IOL decentration, or vitreous hemorrhage was noted during the follow-up period. In conclusion, the motorized injector-assisted intrascleral IOL fixation technique is a safe and effective alternative to the conventional procedure. This technique makes the process of leading haptic externalization easier and more controllable.

Original languageEnglish
Pages (from-to)137-143
Number of pages7
JournalKaohsiung Journal of Medical Sciences
Volume33
Issue number3
DOIs
Publication statusPublished - 2017 Mar 1

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

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