Ab-interno scleral suture loop fixation with cow-hitch knot in posterior chamber intraocular lens decentration

作者：Can Ertugrul^*; Kocak Nurullah; Yucel Ozlem Eski; Gul Adem; Ozturk Hilal Eser; Sayin Osman

来源：Indian Journal of Ophthalmology, 2016, 64(2): 124-126.

DOI：10.4103/0301-4738.179712

• Cow-hitch knot
• intraocular lens decentration
• scleral fixation

Aim of Study: To describe a simplified ab-interno cow-hitch suture fixation technique for repositioning decentered posterior chamber intraocular lens (PC IOL). Materials and Methods: Two cases are presented with the surgical correction of decentered and subluxated IOL. Ab-interno scleral suture fixation technique with hitch-cow knot in the eye was performed with a ciliary sulcus guide instrument and 1 year follow-up was completed. Results: Both of the patients had well centered lenses postoperatively. Corrected distant and near visual acuities of the patients were improved. There was no significant postoperative complication. In the follow-up period of 1 year, no evidence of suture erosion was found. Conclusions: Ab-interno scleral suture loop fixation with hitch-cow knot in the eye was effective in repositioning decentered or subluxated PC IOLs with excellent postoperative centered lenses and visual outcomes.

• 出版日期2016-2