Scleral fixation technique for a dislocated intraocular lens using 2 corneal tunnels

ABSTRACT

Several techniques are used to reposit dislocated intraocular lenses [IOLs]. In cases of a dislocated capsular bag containing the IOL, a dislocated IOL with a large haptic, or a miotic pupil, it is not easy to see the haptic ends to place the suture loop. A scleral fixation technique that creates 2 corneal tunnels was used. A double armed 10-0 polypropylene suture loop can be introduced through 1 corneal tunnel and placed around any accessible part of the haptic with the help of a bent 26 gauge needle. This step can be repeated through the second corneal tunnel to catch the other haptic, if it is displaced