Scleral suturing and fixation of a dislocated intraocular lens

Abstract

In the case of a symptomatic dislocated IOL secondary to trauma, poor capsule-zonular support, or zonulopathy, the surgeon is faced with choosing the appropriate strategy for visual rehabilitation. One of the techniques to improve visual acuity without the need for IOL explantation or exchange is scleral fixation of the dislocated IOL. This technique relies on the surgeon's ability to stabilize the IOL within the eye and provide a new fixation plane in lieu of the capsular support. When performed correctly, patients may experience excellent visual rehabilitation without the added risk of IOL explantation, large corneal incisions, or extended surgical time.