Ms. Aishwarya Rathod

, Prof.Sudarshan Kumar Khokhar, DR. DEEKSHA RANI, Dr. saumya .

Abstract

We describe a new technique, the ’hammock’, to fixate a dislocated single-piece PMMA rigid IOL. After the usual preparation, AC was filled with cohesive viscoelastic. A sinsky hook was used to dial the IOL to a central position. The haptics were dialed in the sulcus. A bimanual 23 G vitrectomy cutter was used for limited anterior vitrectomy along with membranectomy. Following this, the optic was thrusted posteriorly, and the inferior half of the optic was captured below the peripheral fibrotic membrane. The optic was gently nudged posteriorly to check its stability. Unlike multipiece IOLs, the entire optic cannot be captured because of the rigidity of the single-piece IOL. Thus, only the inferior optic is captured as it uses haptics of the rigid IOL as a ‘hammock’ to suspend and stabilize the IOL and prevent any further destabilization because of gravity in upright position. This also prevents the complications associated with scleral/iris fixation of IOL, its explant and exchange.