Belt loop scleral suture fixation of dislocated in-the-bag iols; Retrospective review of consecutive cases

Title : Belt loop scleral suture fixation of dislocated in-the-bag iols; Retrospective review of consecutive cases

Abstract:

Purpose: To review consecutive cases of dislocated in the bag IOLs managed by the belt loop scleral fixation technique.
Methods: Retrospective review of 71 consecutive cases managed using the belt loop scleral
fixation scleral fixation technique.
Results: 71 consecutive cases were identified since 2021; 58% involved a single piece IOL. There were 71 eyes of 61 patients. The age at presentation was 81.46 +/-8.68 years of age (range 51 - 95). These cases presented 11.23 +/- 7.03 years after surgery (range 1 week - 29 years). These cases were followed for 9.63 +/- 9.51 months (range 1 day-36 months). Logmar vision improved from 0.69 +/- 0.32 (range 0.2 – 1.0) to 0.34 +/-0.27 (range 0 -1.0). Post-op findings of transient vitreous hemorrhage in 4 eyes, CME in 8 eyes and one eye had prolonged corneal edema. Only one eye had recurrent dislocation of the iol following significant blunt trauma to the eye.
Conclusions: Belt loop scleral suture fixation using 9-0 prolene is an effective and safe method of managing
dislocated in the bag IOLs.

Biography:

George H.H. Beiko is a medical graduate of Oxford University and completed his ophthalmology specialty training at Queens University in Canada. He has published over 30 peer-reviewed articles and authored 20 book chapters. He has given over 800 scientific presentations. He has been awarded four best papers of session at the ASCRS annual meeting, Winning Video in Cataract Implant Surgery in the ASCRS Film Festival, 5 video awards in team competitions, 2 Best Poster Awards at AAO, Best Paper of Session (Cataract) at APAO-AAO Joint Meeting and the Best Original Paper in Cataract Surgery at AAO. He is on the review panel or editorial board of over 30 ophthalmology journals.