TRANSSCLERAL FIXATION OF DISLOCATED POSTERIOR CHAMBER INTRAOCULAR LENSES USING A 9 0 MICROSURGICAL POLYPROPYLENE SNARE/

We describe a new technique for retrieval, sulcus relocation and trans -scleral fixation of posteriorly dislocated (posterior chamber intraoc ular lenses (PC-IOLs) in a closed eye using a 9/0 polypropylene snare instrument adapted specifically for this purpose. Our experience is de scribed of the first 5 consecutive cases in which the snare mas used. The posteriorly dislocated PC-IOL was successfully relocated in 4 of t hese cases but per-operative fracture of a lens haptic necessitated re moval of the IOL in the fifth. A number of surgical techniques have al ready been described in the management of this problem but me consider the polypropylene snare to offer the advantages of a simpler techniqu e that obviates the need for either manipulation of needles within the eye or complex suturing procedures.