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

 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.

 Peribulbar anesthesia was utilized.  After conjunctival dissection, a posterior limbal scleral corneal incision was made temporally.

 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.

 The first arm of the double armed suture exiting through clear cornea.

 The second arm entering the eye 1mm from the first suture.

 The second arm exiting through clear cornea.

 After the needles were cut off, a Sinskey hook was used to bring the sutures out of the eye through the scleral corneal incision.

 After bringing the temporal haptic out of the eye using the Sinsky hook, the two cut sutures are tied to the haptic.

 The knot ends are trimmed and the haptic is placed back in the sulcus

 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.

 Centered IOL  Post surgery the IOL maintains its centered position and the vision returns to 20/20- with good multifocal function.