A Modified Girth-Hitch Suture Technique to Rescue Single-Haptic Dislocation of Scleral Fixated IOL's.

Abstract

To describe the technique of modified girth-hitch suture for one side transscleral fixation to rescue a single haptic dislocation. In this surgical technique report, dislocated scleral fixated posterior chamber IOL were secured to the sclera using 10-0 polypropylene suture looped around the IOL haptic. Three types of IOL were secured in this study (4 case of 1-piece PMMA IOL, 1 case of 3-piece acrylic IOL with PMMA loop and 1 case of acrylic foldable IOL with a two-plate loop design). Six patients, who had subluxation of the scleral-fixated posterior-chamber IOL due to single-knot dehiscence, underwent refixation of scleral-fixated IOL surgery using this technique. In all cases successful repositioning with stable and central fixation of the IOLs was achieved. No intraoperative or postoperative complications were noted. Internal re-fixation with a girth-hitch suture is relatively quick and convenient method for management of a dislocated IOL haptic on one side.