Four-flanged prolene fixation for a toric trifocal intraocular lens of the double C-Loop design in an eye with severe capsular phimosis

Abdulhameed Hashim Mahmood; Mohammed Khalid Aljodaie; Anoud Faisal Alsaati

doi:10.1016/j.ajoc.2020.101000

Four-flanged prolene fixation for a toric trifocal intraocular lens of the double C-Loop design in an eye with severe capsular phimosis

Am J Ophthalmol Case Rep. 2021 Jan 8:21:101000. doi: 10.1016/j.ajoc.2020.101000. eCollection 2021 Mar.

Authors

Abdulhameed Hashim Mahmood^{1

2}, Mohammed Khalid Aljodaie¹, Anoud Faisal Alsaati¹

Affiliations

¹ Prince Sultan Military Medical City, PO Box 7897, Riyadh, 11159, Saudi Arabia.
² Salmaniya Medical Complex, PO Box 12, Manama, Bahrain.

Abstract

Purpose: To report a rare case of severe capsular phimosis after toric trifocal intraocular lens implantation, in a patient who was already on systemic immunosuppression and to present a modified fixation technique, based on the four-flanged prolene technique, which could be adapted for fixation of intraocular lenses of the double-C-loop design.

Observations: A 33 year old gentleman, who underwent uneventful, sequential, bilateral phacoemulsification with implantation of toric trifocal intraocular lenses, presented 6 weeks post-operatively, with severe capsular phimosis, causing decentration of the IOL and deformation of the haptics in both eyes. The left eye was successfully managed by Nd-YAG laser anterior capsulotomy, while the right eye required surgical intervention.

Conclusion and importance: In the present case report, we describe a novel technique to successfully reposition and realign a decentered toric trifocal intraocular lens of the double C-loop haptic design, after severe capsule phimosis.

Keywords: Anterior capsular phimosis; Cataract; Flanged prolene; IOL repositioning; Novel technique; Toric trifocal IOL.

Publication types

Case Reports