Transconjunctival sutureless intrascleral intraocular lens fixation using intrascleral tunnels guided with catheter and 30-gauge needles

• DOI: 10.1136/bjophthalmol-2014-306579
• Publication Date: 2015-04-09T02:01:56Z
• Authors: Kohei Takayama; Masayuki Akimoto; Hogara Taguchi; Satoko Nakagawa; Kano Hiroi
• Keywords: Sclera; Vitreous hemorrhage

We invented a new method for fixing an intraocular lens (IOL) in the scleral tunnel without using wide conjunctival incision. Modified bent catheter needles were used to penetrate IOL haptics through sclerotomy sites. The inserted into 30-guage (G) tunnels guided by double 30-G piercing sclera. All procedures performed conjunctiva procedure does not require special forceps, trocars or fibrin glue, only and needles. aid of assistant was required support haptic. easily learnt based on our previous method. As with other transconjunctival sutureless surgeries, patients feel less discomfort can be conserved future glaucoma surgery. Complications included two cases vitreous haemorrhage (16.7%), one case each postoperative hypotony, iris capture (8.3%). Astigmatism induced aberration same as we reported previously. Our is innovative, expensive, invasive quick. This modified good alternative