Microforceps-Assisted Transscleral Fixation of Intraocular Lens

Retina. 2024 Mar 22. doi: 10.1097/IAE.0000000000004103. Online ahead of print.

Abstract

Purpose: We present a novel technique for intraocular lens (IOL) fixation. The technique can be used on single-piece acrylic IOLs and can manage the patients who are either aphakia or with a dislocated IOL.

Methods: One end of Gore-Tex suture is tied into the optic-haptic junction of the IOL. Another end is fixated in the scleral wall. The single sclerotomy and double sclerotomies settings can be applied to different situations.

Results: Twelve eyes received this procedure. After a follow-up period of up to 20 months, the IOLs were well centered.

Conclusion: The technique is a reliable method for scleral fixation of IOLs, which can be applied on the widely used single-piece acrylic IOLs. In our experience, it is reproducible and rarely cause complications.