Mahmood AH, Aljodaie MK, Alsaati AF. Four-flanged prolene fixation for a toric trifocal intraocular lens of the double C-Loop design in an eye with severe capsular phimosis.
Am J Ophthalmol Case Rep 2021;
21:101000. [PMID:
33490715 PMCID:
PMC7811043 DOI:
10.1016/j.ajoc.2020.101000]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 10/27/2020] [Accepted: 12/07/2020] [Indexed: 11/12/2022] Open
Abstract
Purpose
To report a rare case of severe capsular phimosis after toric trifocal intraocular lens implantation, in a patient who was already on systemic immunosuppression and to present a modified fixation technique, based on the four-flanged prolene technique, which could be adapted for fixation of intraocular lenses of the double-C-loop design.
Observations
A 33 year old gentleman, who underwent uneventful, sequential, bilateral phacoemulsification with implantation of toric trifocal intraocular lenses, presented 6 weeks post-operatively, with severe capsular phimosis, causing decentration of the IOL and deformation of the haptics in both eyes. The left eye was successfully managed by Nd-YAG laser anterior capsulotomy, while the right eye required surgical intervention.
Conclusion and importance
In the present case report, we describe a novel technique to successfully reposition and realign a decentered toric trifocal intraocular lens of the double C-loop haptic design, after severe capsule phimosis.
A novel technique using four-flanged prolene suture to reposition a toric-trifocal IOL without the need for explantation.
Secondary IOL repositioning and fixation made possible even for toric trifocal IOLs.
Successful re-centration and re-alignment of a toric-trifocal IOL after aggressive capsular phimosis.
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