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- Title
Tram-Track Suture Technique for Pupillary Capture of a Scleral Fixated Intraocular Lens.
- Authors
Kim, Sung In; Kim, Kiseok
- Abstract
Purpose: To report a new technique using tram-track suture for pupillary capture of a scleral fixated posterior chamber intraocular lens (PC-IOL) to reposition the tilted IOL. Methods: In this prospective interventional case series, we describe a tram-track suture for pupillary capture of a scleral fixated PC-IOL. A long straight needle with double-armed 10-0 polypropylene is passed behind the iris and just above the optic portion (tilted forward) of the IOL. The other straight needle with double-armed 10-0 polypropylene is passed just below the optic portion (tilted backward) of the IOL. After the IOL is repositioned properly, the polypropylene sutures are gently pulled and tied. Results: Four eyes of 4 patients underwent tram-track suture for pupillary capture of a scleral fixated PC-IOL. No intra- or postoperative complications were noted, and no pupillary captures were detected during the follow-up period. Conclusions: The tram-track suture technique provides good centration and stability of a PC-IOL. This technique is an easy and effective way to reposition pupillary capture of an IOL. Further, it is also minimally invasive as it maintains a closed system.
- Subjects
INTRAOCULAR lens complications; SUTURES; EYE diseases; DISEASE risk factors
- Publication
Case Reports in Ophthalmology, 2016, Vol 7, Issue 2, p290
- ISSN
1663-2699
- Publication type
Case Study
- DOI
10.1159/000446208