Dr. VANGA HEMANTH REDDY

Dr. SRI GANESH, Dr. SHEETAL BRAR

Abstract

Methods: The double needles are pre-prepared by feeding 6-0 prolene suture into lumen of 27G needle, introduced into sclera 1.75 mm from limbus, the suture advanced within shaft of needle. Once, suture is visible in AC, it is grasped with a microforceps and exteriorized. Same is repeated on other side, 180 degree apart. Suture ends are passed through eyelets of PMMA IOL, cauterized to create flanges, following which IOL is positioned behind pupil, outer sutures pulled anteriorly and cauterized to create 2 external flanges, which are then buried under conjunctiva

Results: 52 eyes of 52 patients underwent modified 4- flanged technique for management of aphakia. Intra-op, one eye each had haptic breakage, haptic slippage and IOL tilt. Post-op, 2 eyes had hypotony, 2 had IOL tilt, and one had flange exposure. The IOL position as seen on UBM remained stable and well centered throughout mean follow up of 18 months

Conclusion: The technique is safe and effective and provided stable results

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