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—We appreciate Dr Eiferman's suggestion to thread the double-armed suture to the holes of the one-piece intraocular haptic. This seems to be an interesting development of the technique described recently in the Archives. Although we have been continuously aware of the danger of the suture slipping or of the knot untying during lens insertion, we have never encountered this complication in about 100 operations performed up to now.We also use different lens designs, such as a one-piece intraocular lens, but the ideal lens design for this type of operation has not yet been found. One of us (F.G.) prefers large prolene haptics (Simcoe-type) for this procedure because they are more elastic and cause less transverse tension in the eye. We use only one transscleral stitch on each side instead of two because we believe this may reduce the risk of bleeding from ciliary vessels.
Grehn F, Sundmacher R. A Simplified Suturing Technique for Posterior Chamber Intraocular Lenses-Reply. Arch Ophthalmol. 1990;108(2):166. doi:10.1001/archopht.1990.01070040016006