Glued IOL: Glued Intrascleral Haptic Fixation of a PC IOL

Glued IOLBy

  • Amar Agarwal MS FRCS FRCOphth, Chairman and Managing Director, Dr Agarwal’s Group of  Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India

The Glued IOL book is a comprehensive academic work with exhaustive photographs and an everyday pragmatic guide for general ophthalmologists who intend to manage their posterior capsular breaks with glued IOL technology. Glued IOL is a short form for Glued Intrascleral Haptic Fixation of a Posterior Chamber IOL. The technique of glued IOL and its modifications along with traditional and cutting-edge surgical interventions are thoroughly explored. The write-ups come from well-known academic institutions and surgeons who are very well-versed with the technique. The procedure consists of making two partial scleral thickness flaps 180° opposite each other followed by sclerotomy with 20 G needle approximately 1-1.5 mm away from the limbus; beneath the flaps. After introduction of infusion, the corneal tunnel is fashioned and a foldable three-piece IOL implanted. The tip of the leading haptic is exteriorized from one sclerotomy site with the help of a 23 G glued IOL forceps. The trailing haptic is then exteriorized from the second sclerotomy site and the haptics are tucked in the scleral pockets created with the help of a 26 G needle. More than 475 coloured photos, illustrations are sprinkled liberally throughout the book. The flaps are then sealed with the help of tissue glue which provided airtight closure of the wound in the immediate postoperative period.

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