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We appreciate the letter by Shin and associates regarding our recent article. We have achieved consistent centration of suture-fixated IOLs by adhering to three guidelines: (1) We use a one-piece, all-polymethyl methacrylate IOL to minimize pseudophakodonesis and modified C-loops to provide broad support in the ciliary sulcus. (2) Sutures are placed at the long axis of the haptics to ensure proper IOL centration. (3) Large iris defects are closed and the IOL is kept up against the iris to minimize tilt. By following these guidelines, consistent centration can be achieved with either the IOLAB IOL (model 6804B, Claremont, Calif) that we use or the Alcon IOL (model CZ70BD) used by Shin and associates.Suture slippage off the IOL haptic has never occurred after surgery with our scleral fixation technique. Therefore, we have not required that IOLs be modified with an eyelet in the middle of each haptic. Since
Panton RW, Stark WJ, Panton PJ. Surgical Management of Subluxed Posterior-Chamber Intraocular Lenses-Reply. Arch Ophthalmol. 1994;112(7):871. doi:10.1001/archopht.1994.01090190013003