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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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2/2009
vol. 111
 
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abstract:
Case report

Subluxation of scleral-fixated PC IOL caused by polypropylene suture degradation – case report

Krystyna Kanigowska
1
,
Mirosława Grałek
1
,
Elżbieta Czarnowska
2
,
Agnieszka Zajączkowska
2

  1. Klinika Okulistyki Instytutu „Pomnik – Centrum Zdrowia Dziecka” w Warszawie
  2. Klinika Patologii Instytutu „Pomnik – Centrum Zdrowia Dziecka” w Warszawie
Klinika Oczna 2009, 111 (2): 138-141
Online publish date: 2009/07/06
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The purpose of the study is to evaluate factors related to late-onset of lens subluxation in transscleral sutured posterior chamber IOL. We report a child, which required surgical treatment for dislocation of a scleral-sutured PC IOL. 11 years earlier the secondary lens implantation with scleral fixation was performed in 4 years old boy. The first surgical procedure included an anterior victrectomy and suturing a single- piece PMMA IOL under the scleral flaps with a 10-0 polipropylene suture. The second – included explantation of the dislocated lens. Optic and scanning electron microscopy was used to analyze the surface of the explanted remnants of the breakage suture. Microscopic findings indicate that the late suture breakage and subluxation of suture-fixated PC IOL was due to the degradation of polypropylene suture.
keywords:

intraocular lens dislocation, transscleral fixation, polypropylene suture, electron microscope, polypropylene suture degradation

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