A new technique for suture fixation of posterior chamber intraocular lenses that eliminates intraocular knots.

PURPOSE

The aim of this study was to describe a new technique for transscleral suturing of posterior chamber intraocular lenses (PCIOLs) without intraocular knots.

DESIGN

Retrospective noncomparative case series.

PARTICIPANTS

Twenty-four eyes underwent implantation of PCIOLs with this new technique.

METHODS

Suture fixation of PCIOLs was performed in eyes without capsular support.

MAIN OUTCOME MEASURES

The anatomic and functional outcome of surgery was determined during a follow-up of 2 to 40 months.

RESULTS

The PCIOL remained well centered without tilt in 22 of 24 (92%) eyes. The PCIOL was well centered in 16 of 17 (94%) eyes followed for > or =6 months. Complications related to lens suturing were minimal and resolved spontaneously. Final visual outcome depended almost entirely on the underlying health of the retina and optic nerve.

CONCLUSION

This technique eliminates intraocular knots, minimizes operating time with an open globe, and provides excellent lens centration in the absence of capsular support.