Abstract

Presenting a modified four-point fixation technique for the repositioning of a dislocated intraocular lens (IOL) combining four-point fixation with intrascleral sutures and suture burying. The technique minimized the limbus incision to 1 mm with no externalization of the IOL or its haptics. Follow-ups included routine ophthalmic examinations, corneal endothelial cell counts, and measurement of IOL tilt and decentration (AS OCT images).
After a mean follow-up period of 19.75 ± 7.85 months (range: 8 to 24 months), the patients’ best-corrected vision acuity (BCVA before (range HM to 6/18, to 6/6 to 6/12 after surgery . IOP remained unchanged. Corneal endothelium density decreased about 6.84 ± 2.97%. IOLs was well positioned during the follow-up. At the final visit, the average IOL tilt was 1.36 ± 0.35° horizontally and 1.31 ± 0.14° vertically. The average IOL decentration was 0.23 ± 0.12 mm horizontally and 0.18 ± 0.13 mm vertically