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To minimize multiple manipulations and to decrease the economical burden; here, we describe how to utilize the patient's own dislocated intraocular lens to re-fixate with the sclera.
When a scleral fixated intraocular lens (IOL) is displaced; routinely it is extracted and exchanged with another IOL and re-fixated to the sclera or another modality can be used. Both can carry many complications due to multiple manipulations. Nevertheless, suture and/or haptic end exposure is another expected future complication, which can range from foreign body sensation to endophthalmitis.
Here, the investigators utilized the same participant's IOL with minimum manipulations and the haptic ends buried inside scleral pockets to prevent future exposure and complications. The pocket entry is sutured with 8/0 vicryl, which is absorbable, to overcome complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The scleral pocket for the primary implanted IOL | Other | single arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The surgical intervention | Other | The participant's primary IOL is re-fixed without utilizing any new material. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The slit-lamp examination. | To assess the intra-ocular pressure mmHg, the re-fixated intraocular lens position ( central, tilted or displaced),and leakage from the incisions, and the hemorrhage ( whether in the anterior segment or in the posterior segment). | The fourth week post-operatively. |
| Measure | Description | Time Frame |
|---|---|---|
| The visual acuity. | To assess both the uncorrected and the best corrected visual acuity ( with glasses). | The fourth week post-operatively. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Omer Abdullah, M.Sc. | Ibinsina Modern Eye and Retina Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ibinsina Modern eye and retina center | Erbil | 44001 | Iraq |
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