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

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.