Double Rectangular Scleral Mesh for Dislocated IOLs: A Closed Vitrectomy Approach


ABSTRACT

Introduction:

Dislocated IOLs months to years following IOL implantation represent a challenging entity. We present a new technique of ab interno approach to replace the IOLs in the sulcus following PPV.

Materials & Methods:

5 cases of dislocated IOLs are presented. Age range from 8-50 years. All cases were myope with no capsular support. Fashioning of a double rectangular scleral mesh was done on an intact eyeball before fashioning slcerotomies. PPV was performed and the IOL was replaced and tethered onto the scleral mesh in 4 cases. One IOL was exchanged as it was damaged.

Results:

Mean follow up was 68 months. Visual acuity improved in all cases. IOLs were all centered in the sulcus onto the DRSM. Complications included transient ciliary body bleeding in 2 cases and IOL haptic rupture necessitating IOL replacement on the scleral mesh.

Conclusion:

DRSM offered an adequate support for IOL replacement and placement under a closed system. This offers IOL stability.


CONTACT DETAILS

Ihab Saad Othman

 

 

Ihab Saad Othman
Dokki, Giza, Egypt
Email: ihabsaad@hotmail.com
Cell Phone: +201001768768