Sutureless intrascleral fixation of a custom-tailored iris prosthesis with an intraocular lens

J Cataract Refract Surg. 2014 Nov;40(11):1759-63. doi: 10.1016/j.jcrs.2014.09.015. Epub 2014 Oct 23.


We describe a technique for sutureless intrascleral fixation of a 3-piece intraocular lens (IOL) and custom silicone iris prosthesis complex to address the optical and functional issues of aphakia and aniridia, as well as to restore excellent cosmesis. The 3-piece IOL is anchored to the iris prosthesis using the belt-loop technique. We believe the intrascleral haptic fixation is overall a more robust fixation method in patients with aphakia and aniridia, who are often younger and require a long-lasting anterior segment reconstruction.

Financial disclosure: Dr. Ahmed is a consultant to Alcon Laboratories, Inc., and Abbott Medical Optics, Inc. No other author has a financial or proprietary interest in any material or method mentioned.

Publication types

  • Case Reports

MeSH terms

  • Aniridia / surgery
  • Aphakia, Postcataract / surgery
  • Artificial Organs*
  • Humans
  • Iris*
  • Lens Implantation, Intraocular / methods*
  • Male
  • Middle Aged
  • Prosthesis Implantation / methods*
  • Sclera / surgery*
  • Sclerostomy
  • Surgical Flaps
  • Suture Techniques*