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KMID : 0360220110520111370
Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 11 p.1370 ~ p.1376
Transscleral Fixation of Intraocular Lens Using the Triple Cow-Hitch Method
Joo Jong-Soo

Lee You-Kyung
Rho Chang-Rae
Byun Yong-Soo
Joo Choun-Ki
Abstract
Purpose: To report the results of scleral suture fixation using a hydrophilic acrylic intraocular lens (IOL) with 3 hollow haptics through a small corneal incision, the Triple Cow-Hitch Method.

Case Summary: Three-point suture fixation of a XL Stabi ZO IOL was performed in 5 eyes of 5 patients with aphakia after penetrating keratoplasty (PKP), vitrectomy and subluxated lens extraction. Postoperatively, the corrected distance visual acuity and spherical equivalent improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME).

Conclusions: In this preliminary study, the triple cow-hitch method of suturing a hydrophilic acrylic IOL is an alternative to the conventional 2-point scleral fixation of sutured IOLs.
KEYWORD
Aphakia, Intraocular lens, Scleral fixation, Triple cow-hitch method, XL Stabi ZO
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