EVALUATION OF THREAD CUSHION TECHNIQUE IN MANAGEMENT OF APHAKIA IN COMPLICATED PHACOEMULSIFICATION

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Ophthalmology, Faculty of Medicine, University of Alexandria

2 Department of Ophthalmology, Faculty of Medicine, Alexandria University

3 Department of ophthalmology, faculty of medicine , Alexandria university

Abstract

Despite the fact that aphakia is relatively uncommon in current ophthalmology practice, there are still certain scenarios in which ophthalmologists have to deal with it. Intraocular lens implantation is now the accepted option for management of aphakia. To achieve stable fixation, the lens should ideally be positioned in the capsular bag as it is so close to the eye's nodal point. When there is no capsular support, the surgeon must choose the most appropriate approach for correcting this problem.There are several choices for correcting aphakia. These include anterior chamber IOL, iris-fixation of the IOL, scleral-sutured IOL and sutureless intra-scleral fixation. There are benefits as well as drawbacks to each of these IOLs. In this report, we introduce amodified surgical approach that makes an implantation of an IOL in the posterior is possible in patients with insufficient capsular support. It offers safe IOL support, good centralisation and stability.

Aim of work:
The aim of this study was to evaluate the thread cushion technique in management of aphakia in complicated phacoemulsification.

Keywords