To the Editor.
—When large ruptures of the posterior capsule occur during cataract surgery, or when a secondary implantation after a previous intracapsular procedure is performed, most surgeons use anterior chamber lenses. The long-term problems caused by anterior chamber lenses, especially as stand-by or secondary implants, led us to develop a technique of suturing the haptics of posterior chamber lenses into the ciliary sulcus. Several authors1-3 have recently reported on similar techniques. However, our method differs from theirs in that extensive vitrectomy is done before intraocular lens (IOL) insertion and transscleral ciliary sulcus fixation of both haptics is performed.See also p 1078.
Materials and Methods.
—Small fornix-based conjunctival flaps are prepared on both sides of the limbus at the 3- and 9-o'clock positions and careful bipolar cautery of episcleral vessels is performed. For planned secondary implantations, an 8-mm peripheral corneal or corneoscleral incision is performed at the 12-o'clock
Grehn F, Sundmacher R. Fixation of Posterior Chamber Lenses by Transscleral Sutures: Technique and Preliminary Results. Arch Ophthalmol. 1989;107(7):954-955. doi:10.1001/archopht.1989.01070020016007