A Simplified Suturing Technique for Posterior Chamber Intraocular Lenses

To the Editor.  —I certainly concur that posterior intraocular lenses can be anchored transsclerally as described by Grehn and Sundmacher¹ and Stark and colleagues² in the July issue of the Archives. The illustrations indicated that the 10-0 prolene suture was tied around the haptics. Unfortunately, I have found that this knot may slip along the haptic while inserting the lens or adjusting the suture. The problem is eliminated if a one-piece PMMA lens with two holes in the distal haptic is used. A double-armed suture is simply threaded through the hole and both ends are tied on the sclera; this eliminates the risk of the knot untying or shifting position on the haptic.This small modification has greatly simplified the secondary insertion of implants, both in cataracts and penetrating keratoplasty.