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CASE REPORT
Year : 2018  |  Volume : 56  |  Issue : 4  |  Page : 251-253

Combined penetrating keratoplasty with extraocular needle-guided haptic insertion technique


1 Department of Vitreo-Retina, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Chennai, Tamil Nadu, India
2 Department of Cornea, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Chennai, Tamil Nadu, India
3 Department of Vitreo-Retina, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry, India
4 Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry, India

Correspondence Address:
Dr. Prabu Baskaran
Department of Vitreo-Retina, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Noombal, Poonamallee High Road, Chennai - 600 077, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_92_18

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Scleral fixation of intraocular lens (SFIOL) is a challenge in eyes with opaque corneas. It is preferable to implant the IOL before performing penetrating keratoplasty. Most techniques described so far involve SFIOL following corneal trephination (open sky) which increases the risk of expulsive choroidal hemorrhage. Extraocular needle-guided haptic insertion technique involves extraocular docking of the IOL haptic into a bent 26-gauge needle followed by its exteriorization. Since this crucial step of SFIOL surgery is completely extraocular, this method can be used to safely place an SFIOL in a well-formed globe even before corneal trephination. Use of a silicone stopper over the leading haptic prevents intraocular rebound of the haptic.


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