By R Rishi Gupta, MD; Andre S. Pollmann, MD; Mark E. Seamone, MD; Daniel M. O'Brien MD; Darrell Robert Lewis, MD
    1-Minute Video
    Cataract/Anterior Segment, Complications, IOLs and Implantation, Retina/Vitreous

    In this video, Dr. R. Rishi Gupta and colleagues treat a patient with sudden onset of decreased vision after dislocation of a Gore-Tex scleral-sutured enVista MX60 lens 14 months after placement. Inspection of the dislocated IOL revealed that the eyelet was fractured but the Gore-Tex suture on that side remained intact. The surgeons caution against the off-label scleral fixation of the MX60 and MX60E IOLs (Bausch + Lomb) with Gore-Tex suture. If used, however, they recommend taking care not to overtighten sutures and to counsel patients on the possible risks.

    This case report was published in the September 2019 issue of the Journal of VitreoRetinal Diseases

    Relevant Financial Disclosures: None