Sinumol Thulaseedharan
Govt. Medical College-Thrissur, India
Title: Single Haptic Fixation of IOL in Tunnel Bed
Biography
Biography: Sinumol Thulaseedharan
Abstract
This is a 1-point scleral fixation of IOL in tunnel bed when there is inadequate capsular bag support for the IOL. This technique can be used as a primary procedure when there is a large posterior capsular rent or a bag subluxation. It can be used as a secondary procedure of IOL implantation in aphakias with some capsular support in the opposite sulcus for the other haptic. This is a better option for managing subluxated or dislocated IOLs as we can fixate the same IOL without explanting it. The technique uses the available capsular remnant to support the leading haptic and an easy single scleral fixation suture to support the trailing haptic. Scleral fixation of the trailing haptic with 9-0 prolene is done in the sclera-corneal tunnel bed 0.75mm behind the limbus. There is no need for preparation of separate scleral beds for fixation. This saves time and provides adequate stability for the IOL without much manipulations or complications. This procedure can be done with routine PC IOLs –rigid/ foldable and single piece / three piece IOLs.