One-Year Outcomes of a Novel Technique for Rescuing and Scleral Fixating a Posterior Dislocated Intraocular Lens–bag Complex Without Conjunctival Opening (Hoffman Pockets)

In Brief Purpose: To present the 1-year follow-up of a novel surgical technique that allows for suture fixation of a posteriorly dislocated lens–bag complex without the need for conjunctival incision. Methods: A retrospective chart review of 19 patients who underwent posterior chamber intraocular lens rescue using the novel surgical technique was performed. Data were collected 1 year after surgery for all patients. Results: Average preoperative vision was 20/500, whereas 3 months and 12 months postoperatively, the vision was 20/65 and 20/54, respectively. Three of 15 eyes had decentration of the sutured intraocular lens, 2 of which required additional surgical repair. Conclusion: Outcome data at 1 year support this novel technique as a viable option for the surgical repair of a dislocated lens–capsular bag complex. The authors describe 1-year results of a novel surgical approach to dislocation of the posterior chamber intraocular lens–capsular bag complex without conjunctival incision. Average preoperative vision was 20/500; 1-year average postoperative vision was 20/54. Complications included vitreous hemorrhage and cystoid macular edema. Lens decentration occurred in 3 of the 15 eyes that were included in this report.