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February 1993

Needle-Assisted Scleral Fixation Suture Technique for Relocating Posteriorly Dislocated IOLs

Author Affiliations

Miami, Fla

Arch Ophthalmol. 1993;111(2):161-162. doi:10.1001/archopht.1993.01090020015005

To the Editor.  —Several recent reports on repositioning posteriorly dislocated intraocular lenses (IOLs) have described a variety of techniques for transscleral suture fixation of the IOL haptics. Refinements have been directed toward the most challenging aspect of such techniques: fixing the suture to the haptic. Suturing techniques requiring intraocular needle retrieval are awkward. Introducing a suture loop through a sclerotomy potentially impedes further surgical maneuvers through that sclerotomy, or requires extra sclerotomies.1 Exteriorizing the IOL haptic to allow suture placement involves blindly dragging the haptic through the vitreous base, risking peripheral retinal damage.2 We describe and illustrate below a minor modification in technique, using a needle developed for iris fixation.3 This modification facilitates easy and precise scleral suture placement.

Technique.  —Partial-thickness scleral flaps are dissected at the meridian desired. Standard pars plana vitrectomy sclerotomies are prepared. A 9-0 or 10-0 polypropylene suture with a needle attached to