SCLERAL FIXATION OF THE SMALLER-INCISION NEW-GENERATION IMPLANTABLE MINIATURE TELESCOPE USING GORE-TEX SUTURE

Purpose: In this case report, the authors describe a surgical technique for scleral fixation of the smaller-incision new-generation implantable miniature telescope (SING-IMT). Using this surgical technique, the patient's eye that undergoes surgery for the SING-IMT could still have a safe SING IMT implant despite the anatomical conditions of the capsular bag or in cases of intraoperative complications. Methods: The surgery was performed at Policlinico A. Gemelli, Rome, Italy. The patient's eye underwent a first surgery for an artificial intraocular lens explant and SING-IMT implant at the same time. The authors observed SING IMT dislocation into the vitreous chamber 90 days after surgery. Therefore, they carried out a 23-gauge vitrectomy, and after SING IMT recovery from the vitreous chamber, they fixed one of its haptic to the sclera using an 8.0 Gore-Tex suture. Conclusion: Scleral fixation of SING-IMT haptics might be useful in eyes with dislocated or not stable SING IMT. The authors believe that reporting our experience can help surgeons fix SING IMT in complicated cases where a capsular bag rupture or disinsertion (like our case) can cause SING IMT decentration or worse its drop into the vitreous chamber. They speculate that the Gore-Tex suture could assure firm fixation of the SING IMT and could reduce the risk of recurrent dislocations.