University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Scleral Fixation of IOL

Objectives

  • Describe indications for scleral fixation of IOL
  • Describe/demonstrate techniques for scleral fixation of IOL

Reading

  • Henderson BA. Essentials of Cataract Surgery, second edition. Thorofare, NJ: Slack Inc., 2014. (WW 260 E78 2014). isbn 978-1-61711-0672
    • Chapter 19: Sutured Intraocular Lenses pg: 199-206
      (UIHC Link)
  • Kim, Terry. Curbside Consultation in Cataract Surgery: 49 Clinical Questions, second edition. Thorofare, NJ: Slack Inc., 2014
    • Question 34: If I cannot put the lens in the Bag or the Sulcus, how do I approach scleral fixation of an intraocular lens?

Videos

Glued IOL (Agarwal Technique)

Convert to ECCE and glued IOL
Watch on YouTube

 

Secondary Glued IOL
Watch on YouTube

Yamane


Simulation

EYE MODEL


EQUIPMENT

Glued IOL:

300micron blade

Calipers

Keratome

Crescent blade

Sideport blade

MST duet micrograspers

Kellman-Mcpherson forceps

Lewicky AC maintainer

3piece IOL (MA50)

Yamane:

Calipers

TSK 30g Needle (thin walled) x2

Keratome

3piece IOL (Ideally Zeiss Lucia)

Thermal Cautery

MST duet micrograspers

Kellman-Mcpherson forceps


Videos for simulation

Phillips Glued IOL

SimulEYE Yamane by Patrick Gooi, MD and Daniellle Wentzell, MD on ASCRS website. May 2019

Suggested citation format: Haugsdal J, Kitzmann A, Oetting TA. The Iowa Ophthalmology Wet Laboratory. EyeRounds.org. Updated Posting June 28, 2021. Originally Posted December 6, 2012. Available from http://www.EyeRounds.org/tutorials/Iowa-OWL-o2021/

last updated: 07/01/2021