• We have developed surgical techniques for implanting a posterior chamber lens in the absence of capsular and zonular support by securing both haptics of the posterior chamber lens to the sclera at the ciliary sulcus with 10-0 prolene suture. These techniques have been successfully performed and have produced good visual results in six monocularly aphakic patients who had contact lens intolerance and/or contraindications to anterior chamber lens implantations. In consideration of the high incidence and the great variety of complications associated with anterior chamber lenses, these newly developed surgical techniques will be a useful alternative to anterior chamber lenses, even in patients who do not have definite contraindications to anterior chamber lens implantations.
Hu BV, Shin DH, Gibbs KA, Hong YJ. Implantation of Posterior Chamber Lens in the Absence of Capsular and Zonular Support. Arch Ophthalmol. 1988;106(3):416-420. doi:10.1001/archopht.1988.01060130442039