Secondary IOL/ collar button capture with scleral suture by Steven G. Safran MD

This is a 48 year old s/p pars plana vitrectomy and lensectomy with only anterior capsule remaining. He has a small central opening in the capsule and is aphakic. I performed a secondary IOL by converting his small opening into a larger one to accomodate a collar button capture of the optic and also did a scleral suture to guarentee good fixation in this young myope.

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Science & Technology

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• DFseciol

[sgsafran]

This patient had a very myopic eye. He is quite young....in his 40's an very physically active. He is also s/p PPV/buckle with pars plana lensectomy and his zonules were very suspect. A sulcus based lens would have risk of decentration or psuedophakodinesis and just capturing the optic still, with the suspect zonules may or may not be stable. The combination of iris capture and scleral fixation guarentees secure stability and centration with very little risk, time or effort expenditure.

[pawaneyedoc]

what was the need for scleral fixation when the ant.cap.was intact? the iol could have rested nicely in the ciliary sulcus.