This is a 68-year-old female patient who presented with a decentered intraocular lens due to loss of capsular support. The Transconjunctival (Belt-loop) Subluxated IOL-Bag Fixation technique was performed in order to achieve a stable and well-centered intraocular lens position.
In this technique, scleral incisions were used instead of scleral tunnels, and the suture tips were made into knobs with cautery and then buried under the conjunctiva. This provided stable scleral fixation while minimizing the risk of suture erosion or exposure.
The Belt-loop method ensures long-term stability of the intraocular lens and avoids the need for extensive conjunctival dissection. In this case, the technique was particularly suitable as it minimized the risks associated with conventional scleral fixation and ensured optimal visual rehabilitation.
Here is the final position of the lens:
Credit: Merve İnanç Tekin, MD, FEBO
Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Ankara, Türkiye
Instagram account: @merveinanctekin / @uveaacademy