Evaluation of three cases of intrascleral haptic fixation and vitrectomy via corneal side ports

Background: Weak zonules may be present in pseudoexfoliation syndrome, needing intrascleral haptic fixation during future cataract surgery. The scleral wound may interfere during eventual trabeculectomy. Sutureless intrascleral haptic fixation with transcorneal vitrectomy promises to be of value for such eyes. Purpose: To report 3 eyes that received sutureless intrascleral haptic fixation with transcorneal vitrectomy during cataract surgery. Cases: This study was made on 3 eyes of 3 patients with pseudoexfoliation syndrome who received sutureless intrascleral haptic fixation with transcorneal vitrectomy. Two eyes had cataract. One eye was pseudophakic with subluxated intraocular lens (IOL). They received flanged intrascleral haptic fixation with double-needle technique by transcorneal vitrectomy. Visual acuity ranged from 0.2 to 0.5. Results: Cataract surgery proceeded uneventfully in 2 eyes. In one pseudophakic eye, the intraocular lens (IOL) fell into the vitreous. It could not be secured by forceps because of collision with the non-contact wide-angle lenses. After pars plana vitrectomy, IOL was inserted by intracleral haptic fixation. Visual acuity improved in all the 3 eyes. There was no complication except temporary elevation of intraocular pressure to 22 to 28 mmHg and mild corneal edema with folds in Descemet membrane. Conclusion: This surgical method was useful in 3 eyes of pseudoexfoliation syndrome.