Ab-interno scleral suture loop fixation with cow-hitch knot in posterior chamber intraocular lens decentration


Can E., Koçak N., Yucel Ö., Gul A., Ozturk H., Sayin O.

INDIAN JOURNAL OF OPHTHALMOLOGY, vol.64, no.2, pp.124-126, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 64 Issue: 2
  • Publication Date: 2016
  • Doi Number: 10.4103/0301-4738.179712
  • Journal Name: INDIAN JOURNAL OF OPHTHALMOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.124-126
  • Keywords: Cow-hitch knot, intraocular lens decentration, scleral fixation, ENDOPHTHALMITIS, DISLOCATION
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Aim of Study: To describe a simplified ab-interno cow-hitch suture fixation technique for repositioning decentered posterior chamber intraocular lens (PC IOL). Materials and Methods: Two cases are presented with the surgical correction of decentered and subluxated IOL. Ab-interno scleral suture fixation technique with hitch-cow knot in the eye was performed with a ciliary sulcus guide instrument and 1 year follow-up was completed. Results: Both of the patients had well centered lenses postoperatively. Corrected distant and near visual acuities of the patients were improved. There was no significant postoperative complication. In the follow-up period of 1 year, no evidence of suture erosion was found. Conclusions: Ab-interno scleral suture loop fixation with hitch-cow knot in the eye was effective in repositioning decentered or subluxated PC IOLs with excellent postoperative centered lenses and visual outcomes.