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Recentering of ReZoom IOL by Suturing Technique to Optimize Visual Acuity Francis A. D’Ambrosio Jr., M.D. Lisa M. Wilson, O.D. Lancaster, MA. The authors have no financial interests to disclose. 62 yo white male with a decentered ReZoom IOL OS causing decreased vision.

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the authors have no financial interests to disclose

Recentering of ReZoom IOL by Suturing Technique to Optimize Visual Acuity

Francis A. D’Ambrosio Jr., M.D.

Lisa M. Wilson, O.D.

Lancaster, MA

The authors have no financial interests to disclose
62 yo white male with a decentered rezoom iol os causing decreased vision
62 yo white male with a decentered ReZoom IOL OS causing decreased vision
  • Original surgery was 2 months earlier and was complicated by a capsule tear necessitating sulcus placement.
  • Original post-op vision was 20/20 with a well centered IOL. The vision decreased to 20/40 with poor multifocal function as the lens de-centered nasally.
  • Surgical intervention was necessary to center the IOL with suturing.
surgical technique
Surgical Technique
  • Peribulbar anesthesia was utilized.
  • After conjunctival dissection, a posterior limbalscleral corneal incision was made temporally.
surgical technique1
Surgical Technique
  • Viscoelastic (Amvisc Plus/Bausch&Laumb) was placed anterior and posterior to the IOL.
  • The first arm of a double armed 10-0 Prolene suture on a spatula straight needle (Ethicon 1713G) was passed 3mm posterior to the limbus into the anterior chamber.
surgical technique2
Surgical Technique
  • The first arm of the double armed suture exiting through clear cornea.
surgical technique3
Surgical Technique
  • The second arm entering the eye 1mm from the first suture.
surgical technique4
Surgical Technique
  • The second arm exiting through clear cornea.
surgical technique5
Surgical Technique
  • After the needles were cut off, a Sinskey hook was used to bring the sutures out of the eye through the scleral corneal incision.
surgical technique6
Surgical Technique
  • After bringing the temporal haptic out of the eye using the Sinsky hook, the two cut sutures are tied to the haptic.
surgical technique7
Surgical Technique
  • The knot ends are trimmed and the haptic is placed back in the sulcus
surgical technique8
Surgical Technique
  • The distal end of the suture is now cut and a single knot is gently fastened to bring the temporal haptic to the sclera and center the IOL.
  • After the IOL is centered the knot is completed and the ends are trimmed to 1mm in length.
result
Result
  • Centered IOL
  • Post surgery the IOL maintains its centered position and the vision returns to 20/20- with good multifocal function.