[Skip to Content]
[Skip to Content Landing]
Article
July 1994

Surgical Management of Subluxed Posterior-Chamber Intraocular Lenses-Reply

Author Affiliations

Baltimore, Md

Arch Ophthalmol. 1994;112(7):871. doi:10.1001/archopht.1994.01090190013003

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

In reply  We appreciate the letter by Shin and associates regarding our recent article. We have achieved consistent centration of suture-fixated IOLs by adhering to three guidelines: (1) We use a one-piece, all-polymethyl methacrylate IOL to minimize pseudophakodonesis and modified C-loops to provide broad support in the ciliary sulcus. (2) Sutures are placed at the long axis of the haptics to ensure proper IOL centration. (3) Large iris defects are closed and the IOL is kept up against the iris to minimize tilt. By following these guidelines, consistent centration can be achieved with either the IOLAB IOL (model 6804B, Claremont, Calif) that we use or the Alcon IOL (model CZ70BD) used by Shin and associates.Suture slippage off the IOL haptic has never occurred after surgery with our scleral fixation technique. Therefore, we have not required that IOLs be modified with an eyelet in the middle of each haptic. Since

First Page Preview View Large
First page PDF preview
First page PDF preview
×