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    Endoilluminator-Assisted Fixation of Posteriorly Dislocated In-the-Bag IOL

    AAO 2022 Video Program
    Cataract/Anterior Segment, Complications, IOLs and Implantation, Weak Zonules

    Posterior dislocation of the intraocular lens (IOL) with the capsular bag has been found in various scenarios. The most common causes include trauma and progressive zonulopathy, which can result in dislocation of the IOL and capsular bag in the vitreous cavity. Various approaches can be taken to manage such a case. This video presents the case of a hanging IOL within the capsular bag in the vitreous cavity with more than 270 degrees of zonular dehiscence in a vitrectomized eye. An endoilluminator was introduced through the pars plana and brought behind the IOL-bag complex, and it was lifted and brought up in its normal position. The endoilluminator was supported on the patient's brow so as to keep the IOL-bag complex in position. A 9-0 Prolene suture with a straight needle was introduced through a scleral groove made at 2 mm behind the limbus on both sides, and a lasso suture was tied around both haptics. The endoilluminator was removed, and the IOL-bag complex remained secured in its position.

    Financial Disclosure: Drs. Rajesh Sinha, Suman Aiims Lata, Sohini Mandal, and Shahnaz Anjum disclose no financial relationships.