Helped by the arm of the eye speculum, the adjustable node is done in four steps maneuver.
Surgery starts with the peritomy and cautery of the sclera at 3 and 9 o'clock. Two triangular partial thickness limbal-based scleral are created. Three ports are introduced, two of the three ports passing under the scleral flaps. The infusion port was introduced transconjunctivally and after complete vitrectomy, a halogen light source is introduced and the two ports previously positioned under the scleral flaps are removed. Two forceps are introduced into the vitreous cavity and used to gently raise the lens to the middle of the vitreous cavity so the lens and the haptics can visualize. Holding the lens with one of the two forceps in the middle of the vitreous cavity, the adjustable suture is introduced with the other forceps and the lens haptic was snared in the loop that is tensed around one haptic. Once the two haptics of the lens were captured, the lens was repositioned in the sulcus by tightening the two sutures. The two sclerotomies are closed with the same sutures.
Nadal J, Kudsieh B, Casaroli-Marano R
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<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4532867/bin/391619.f1.mp4">Video file</a> from <cite style="font-style:normal">Nadal J, Kudsieh B, Casaroli-Marano R (2015). "<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4532867">Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach</a>". <i>Journal of Ophthalmology</i>. <a href="https://en.wikipedia.org/wiki/Digital_object_identifier" class="extiw" title="w:Digital object identifier">DOI</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1155/2015/391619">10.1155/2015/391619</a>. <a href="https://en.wikipedia.org/wiki/PMID" class="extiw" title="w:PMID">PMID</a> <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pubmed/26294964">26294964</a>. <a href="https://en.wikipedia.org/wiki/PubMed_Central" class="extiw" title="w:PubMed Central">PMC</a>: <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4532867">4532867</a>.</cite>