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July 1994

Surgical Management of Subluxed Posterior-Chamber Intraocular Lenses

Author Affiliations

Detroit, Mich

Arch Ophthalmol. 1994;112(7):871. doi:10.1001/archopht.1994.01090190013002

We read with special interest the article by Panton et al1 published in the July 1993 issue of the Archives. We would like to ask the authors if they had any fixation suture slippage problem during or after surgery with the particular posteriorchamber intraocular lens (IOL) they used in the IOL exchange procedure. We encountered fixation suture slippage causing a subluxation or dislocation of the transscleral suture-fixated posterior-chamber IOL during or after surgery when we used IOLs without an eyelet in the middle of the haptic or a clublike deformation at the end of the haptic.

Recently, we found the use of a biconvex onepiece, all-polymethyl methacrylate, posterior-chamber IOL with a 7-mm optic and modified C-loop with 5° angulation and an eyelet in the middle of each haptic (model CZ70BD, Alcon, Fort Worth, Tex) to be well suited for the transscleral suture fixation for avoiding decentration, tilting, and slippage

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