Intraocular lens hang-down technique for dropped monofocal intraocular lens: modified technique to minimize surgical damage during surgery

A modified surgical technique for monofocal scleral fixation intraocular lens (IOL) that has completely dropped into the vitreous, without requiring IOL explantation. The “IOL hang-down technique” involves passing a suture needle through the haptic of the existing IOL, creating a bridge-like structure between 2 opposite corneal side ports, which keeps the IOL suspended on the needle. The technique enables haptic fixation within a closed intraocular system, eliminating the need to bring the IOL into the anterior segment or to explant it. Also, this technique reduces the risk of recurrent dislocation of the IOL to the vitreous during fixation. This surgical technique offers a less invasive alternative by avoiding IOL explantation and reducing surgical damage while ensuring stable fixation of the existing IOL.

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Publication Details

Journal
Journal of Cataract and Refractive Surgery Online Case Reports
Published
2025-01-01
DOI
https://doi.org/10.1097/j.jcro.0000000000000196
Primary Topic
Intraocular Surgery and Lenses
Type
article
Field-Weighted Citation Impact
0.00
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article

Intraocular lens hang-down technique for dropped monofocal intraocular lens: modified technique to minimize surgical damage during surgery

Mustafa Hepokur
Journal of Cataract and Refractive Surgery Online Case Reports
Intraocular Surgery and Lenses
article

Intraocular lens hang-down technique for dropped monofocal intraocular lens: modified technique to minimize surgical damage during surgery

Mustafa Hepokur
article en

Abstract

A modified surgical technique for monofocal scleral fixation intraocular lens (IOL) that has completely dropped into the vitreous, without requiring IOL explantation. The “IOL hang-down technique” involves passing a suture needle through the haptic of the existing IOL, creating a bridge-like structure between 2 opposite corneal side ports, which keeps the IOL suspended on the needle. The technique enables haptic fixation within a closed intraocular system, eliminating the need to bring the IOL into the anterior segment or to explant it. Also, this technique reduces the risk of recurrent dislocation of the IOL to the vitreous during fixation. This surgical technique offers a less invasive alternative by avoiding IOL explantation and reducing surgical damage while ensuring stable fixation of the existing IOL.

Journal of Cataract and Refractive Surgery Online Case ReportsVol. 13
Istanbul University-Cerrahpaşa (TR)
Openalex Percentile: Top 56%
Intraocular Surgery and Lenses
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