DR. JYOTI GOYAL

Dr. AVIK KUMAR ROY

Abstract

Objective-To ensure safe placement of Intraocular lens (IOL) in ciliary sulcus using a 10-0 nylon suture sling during complicated cataract surgery.

Methods- 50 cataract surgery eyes which will be complicated by posterior capsule rent (PCR) or Zonular Dialysis (ZD) intraoperatively are considered for the placement of single piece non foldable rigid IOL in sulcus using suture sling technique. An interim analysis was performed in 10 eyes and pre-op and post-op 1 week LogMAR BCVA (best corrected visual acuity) was compared and IOL stability was assessed.

Results-The mean age was 65.1 years. There was no incidence of IOL drop in these 10 patients. The LogMAR BCVA improved from preoperative 1.31 ± 0.65 to 0.56 ± 0.43. The IOL was found to be stable in all patients.

Conclusion-Sling technique method is safe and effective for stable placement of IOL in sulcus during complicated cataract surgery. It is simple and doesn’t demand any extra (vitreo-retinal) surgical expertise.

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