Sutureless scleral fixated three-piece intraocular lens in the management of dislocated capsular bag–capsular tension ring–intraocular lens complex

Abstract

A number of techniques have been described in the management of capsular bag (CB)–capsular tension ring (CTR)-intraocular lens (IOL) dislocation, including pars plana vitrectomy (PPV) with explantation of the CTR and IOL through a corneal section and exchange with a scleral suture-fixated IOL or anterior chamber IOL, and repositioning of the CB–CTR–IOL complex with scleral suture fixation. We describe a technique of managing CB–CTR–IOL dislocation which involves PPV with CTR removal and sutureless scleral fixation of the same three-piece IOL. This was performed in two patients with good visual outcome and well-centered IOLs postoperatively.

Keywords

• capsular bag
• capsular tension ring
• scleral fixated intraocular lens