title: Scleral fixation technique using 2 corneal tunnels for a dislocated intraocular lens.
abstract: Several techniques are used to reposition dislocated intraocular lenses (IOLs). Most place a suture loop around the end of the haptic. However, 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. We describe a scleral fixation technique that uses 2 corneal tunnels. 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 modified technique is an easy and effective way to reposition the IOL.
authors.affiliation: Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, South Korea. hjkoh@yumc.yonsei.ac.kr
authors.forename: H J
authors.initials: HJ
authors.lastname: Koh
authors.forename: C Y
authors.initials: CY
authors.lastname: Kim
authors.forename: S J
authors.initials: SJ
authors.lastname: Lim
authors.forename: O W
authors.initials: OW
authors.lastname: Kwon
mesh_terms: D001672:Biocompatible Materials; D003315:Cornea / Q000601:surgery*; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D007910:Lenses, Intraocular; D011126:Polypropylenes; D011475:Prosthesis Failure; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation; D013537:Sutures; D014792:Visual Acuity
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes