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June 1990

Dislocated Posterior Chamber Intraocular Lens: A New Technique of Management

Author Affiliations

Detroit, Mich

Arch Ophthalmol. 1990;108(6):777. doi:10.1001/archopht.1990.01070080019005

To the Editor.  —I read with great interest the recent report by Smiddy1 in the November 1989 issue of the Archives. I agree with Dr Smiddy that scleral suture fixation of the haptics is preferable to iris suture fixation for the reasons he has cited. It is also most appropriate for him to pay special attention to the handling of the polypropylene sutures in an attempt to prevent their erosion through the overlying conjunctiva, which may be complicated by postoperative irritation and even an endophthalmitis.2 Whereas leaving the suture ends slightly longer than usual as Dr Smiddy has described will minimize such suture-related complications, it may not be as safe as burying the sutures and the knot within the scleral wound2 or underneath a protective scleral flap.3Dr Smiddy should be congratulated for his innovative surgical management of the difficult problem of a dislocated posterior chamber

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