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November 1988

Secondary Posterior Chamber Implant

Arch Ophthalmol. 1988;106(11):1502. doi:10.1001/archopht.1988.01060140670006

To the Editor.  —I read with interest the article by Hu et al1 in the March 1988 Archives.I have used a similar technique in six eyes, all of which had undergone previous intracapsular extraction. In four eyes a pars plana vitrectomy was followed by a scleral tunnel incision. A double-armed polypropylene suture attached to the lower haptic was passed through the incision and under the iris and brought out in a groove in the sclera 2 mm from the limbus. The needle used was an Ethicon CIF-4 (Ethicon Inc, Somerville, NJ). The upper haptic was secured at the 12-o'clock position by a doublearmed 10-0 polypropylene suture brought under the iris and out the bed of the scleral tunnel.The technique is not without complications. One eye developed a retinal detachment that was successfully repaired, with resultant 20/60 visual acuity. A second eye showed a tilt of the implant.

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