Scleral Fixation of IOL
Objectives
- Describe indications for scleral fixation of IOL
- Describe/demonstrate techniques for scleral fixation of IOL
Reading
- Henderson BA. Essentials of Cataract Surgery, second edition. Thorofare, NJ: Slack Inc., 2014. (WW 260 E78 2014). isbn 978-1-61711-0672
- Chapter 19: Sutured Intraocular Lenses pg: 199-206
(UIHC Link) - Kim, Terry. Curbside Consultation in Cataract Surgery: 49 Clinical Questions, second edition. Thorofare, NJ: Slack Inc., 2014
- Question 34: If I cannot put the lens in the Bag or the Sulcus, how do I approach scleral fixation of an intraocular lens?
Videos
• Glued IOL (Agarwal Technique)
Convert to ECCE and glued IOL
Watch on YouTube
Secondary Glued IOL
Watch on YouTube
• Yamane
Yamane Technique with Pupilloplasty
Watch on YouTube
Simulation
EYE MODEL
- Phillips Aphakic PS-029 (Glued IOL or Yamane simulation)
- SimulEYE Iris Suturing & IOL fixation (for Yamane simulation)
EQUIPMENT
Glued IOL:
300micron blade
Calipers
Keratome
Crescent blade
Sideport blade
MST duet micrograspers
Kellman-Mcpherson forceps
Lewicky AC maintainer
3piece IOL (MA50)
Yamane:
Calipers
TSK 30g Needle (thin walled) x2
Keratome
3piece IOL (Ideally Zeiss Lucia)
Thermal Cautery
MST duet micrograspers
Kellman-Mcpherson forceps
Videos for simulation
SimulEYE Yamane by Patrick Gooi, MD and Daniellle Wentzell, MD on ASCRS website. May 2019
Suggested citation format: Haugsdal J, Kitzmann A, Oetting TA. The Iowa Ophthalmology Wet Laboratory. EyeRounds.org. Updated Posting June 28, 2021. Originally Posted December 6, 2012. Available from http://www.EyeRounds.org/tutorials/Iowa-OWL-o2021/
