Sliding internal knot technique for late in-the-bag intraocular lens decentration

Thomas A Oetting; Janet Y M Tsui; Alton T Szeto

doi:10.1016/j.jcrs.2011.03.018

Sliding internal knot technique for late in-the-bag intraocular lens decentration

J Cataract Refract Surg. 2011 May;37(5):810-3. doi: 10.1016/j.jcrs.2011.03.018.

Authors

Thomas A Oetting¹, Janet Y M Tsui, Alton T Szeto

Affiliation

¹ University of Iowa Hospital and Clinics and the Veterans Administration Medical Center, Iowa City, Iowa 52242, USA. [email protected]

PMID: 21511149
DOI: 10.1016/j.jcrs.2011.03.018

Abstract

We describe a technique that uses a sliding (Siepser) internal knot to secure the intraocular lens (IOL) and capsular bag complex to the sclera. The technique is helpful in cases of late dislocation of the IOL-capsular bag complex, which seems to be particularly common in patients with pseudoexfoliation. The technique, which borrows from earlier techniques, has the advantages of an external approach of the suture needle and a sliding knot with an internal tie that does not require a knot to be covered or rotated.

MeSH terms

Humans
Lens Capsule, Crystalline / surgery*
Lens Implantation, Intraocular / methods*
Polypropylenes
Prosthesis Failure*
Sclera / surgery*
Suture Techniques*
Sutures

Substances

Polypropylenes