From the Ophthalmology Department, Military Institute of Medicine, Warsaw, Poland.
J Cataract Refract Surg. 2022 Jan 1;48(1):118-124. doi: 10.1097/j.jcrs.0000000000000838.
A new sutureless technique used for repositioning and scleral fixation of the capsular bag-intraocular lens (IOL) complex in the surgical treatment of subluxated lenses is described. Iris retractors were used not only to induce a tent effect on the capsule but also to permanently fix the capsular bag to the sclera in this method, without the need to prepare scleral or conjunctival flaps. Surgery with the use of a capsular tension ring (CTR) and iris retractors, the ends of which were brought out through the sclera and cauterized, was performed in 7 eyes of 7 patients with moderate or severe subluxation of the crystalline lens. In all cases, simultaneous use of a CTR and iris retractors ensured good centration of the capsular bag-IOL complex. The method was safe and effective in fixing the capsule to the sclera in the case of significant damage to the ligamentous apparatus of the lens.
一种新的用于在外科治疗半脱位晶状体中重新定位和巩膜固定囊袋 - 人工晶状体（IOL）复合体的无缝线技术被描述。在该方法中，虹膜牵开器不仅用于在囊上产生帐篷效应，而且还用于将囊袋永久固定到巩膜上，而无需准备巩膜或结膜瓣。在 7 例晶状体中度或重度半脱位的患者中，使用囊袋张力环（CTR）和虹膜牵开器进行手术，其末端通过巩膜引出并烧灼。在所有情况下，同时使用 CTR 和虹膜牵开器可确保囊袋 - IOL 复合体的良好中心定位。在晶状体韧带装置严重受损的情况下，该方法将囊固定到巩膜上是安全有效的。
