Modified technique of haptic externalization for scleral fixation of dislocated posterior chamber lens implants.
OBJECTIVE
To describe a modified technique of haptic externalization during repositioning of dislocated posterior chamber lens implants, which facilitates placement of scleral fixation sutures around the haptic for implant stabilization.


METHODS
We describe a technique of repositioning a dislocated posterior chamber implant with scleral fixation sutures, which uses a small, clear corneal incision for externalization of the haptic. After a loop of 10-0 Prolene suture (Ethicon, Inc., Somerville, New Jersey) is placed around the externalized haptic, the sutures are retrieved through a sclerotomy 1.0 mm posterior to the limbus. The haptic is reimplanted into the ciliary sulcus. A separate scleral fixation bite closes the sclerotomy, and it is tied to the 10-0 Prolene sutures looped around the haptic.


RESULTS
The dislocated implant was stable and fixated in good position 5 months after surgery using this technique.


CONCLUSIONS
This externalization technique minimizes the extensive intraocular manipulations necessary to create a suture loop around a haptic of a dislocated implant. The clear corneal incision allows for clear visualization during externalization of the haptic.
Kokame
G T
GT
The Retina Center at Pali Momi, Kapi'olani Health, Aiea, Hawaii, USA. retinahi@aol.com
Atebara
N H
NH
Bennett
M D
MD
D000368:Aged; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity; D014821:Vitrectomy