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SURGICAL CORNER
Year : 2020  |  Volume : 32  |  Issue : 1  |  Page : 66-69

CM T - FLEX IOL an innovative design for subluxated lens secondary to trauma


Department of Vitreoretina, M. N Eye Hospital, Tondiarpet, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. P A. P. Aysha
M. N Eye Hospital, 781th Road, Tondiarpet, Chennai - 600 021, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_77_19

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Here, we report a case of a 42-year-old male who came with complaints of blurring of vision in the left eye since 3 months which was progressive in nature. He gave a history of road traffic accident 7 months back following which he developed defective vision. On examination, his unaided visual acuity in the right eye was 6/9 and left eye was 3/60 with pinhole improvement of 6/9 and subluxated cataractous lens in the left eye. He was managed with pars plana lensectomy, vitrectomy, and new foldable Acryflex-T intraocular lens (IOL) (CM T-FLEX) scleral fixated IOL. Two partial-thickness limbal-based scleral flaps of 2.5 mm × 2.5 mm were created 180° apart; sclerotomies were made using 23 gauge needle 1.5 mm away from the limbus. The new Acryflex T–Flex IOL implantation was performed through the 2.8 mm clear corneal incision, and specially designed T-shaped IOL haptics were externalized with the 23 gauge PraNiv T Flex forceps under the scleral flap. Fibrin glue was used to close the scleral flaps and conjunctiva. Postoperative period was uneventful; at the end of 1-month, the patient regained a best-corrected visual acuity of 6/6 with good stable centration of IOL.


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