Modified transscleral fixation using combined temporary haptic externalization and injector intraocular lens implantation.

Several transscleral suturing techniques require intricate surgical maneuvers and are associated with an increased risk for surgical trauma. We describe a new scleral fixation method that combines the advantages of temporary haptic externalization and injector implantation of an intraocular lens (IOL). After IOL insertion with the injector, each haptic is externalized through 2 adjacent corneal incisions. A 10-0 polypropylene suture loop is made at each exposed haptic and transscleral IOL fixation performed. This modified technique is a safe and effective way to fixate the IOL in eyes with insufficient capsule support.