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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2018  |  Volume : 25  |  Issue : 1  |  Page : 47-48

Autologous scleral flap technique to repair exposed sutures after transscleral suture fixation of an intraocular lens


1 Department of Research, King Khaled Eye Specialist Hospital, Riyadh, KSA
2 Department of Research, King Khaled Eye Specialist Hospital, Riyadh, KSA; Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA

Correspondence Address:
Dr. Donald Ural Stone
Research Department, King Khaled Eye Specialist Hospital, P. O. Box 7191, Arouba Road, Riyadh 11462

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/meajo.MEAJO_196_16

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Exposure of the suture after transscleral suture fixation of posterior chamber intraocular lenses is a known late complication that typically requires intervention. Patch grafts of sclera, cornea, or pericardium have been described. We describe a novel autologous scleral flap to cover an exposed 10–0 polypropylene suture. This technique requires no exogenous graft material and avoids the risks of intraocular manipulation of the lens. Every effort should be made to avoid external exposure of the suture, but in cases that develop suture erosion, an autologous scleral flap may be a useful intervention.


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