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


METHODS
Retrospective noncomparative case series.


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


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


METHODS
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.


CONCLUSIONS
This technique eliminates intraocular knots, minimizes operating time with an open globe, and provides excellent lens centration in the absence of capsular support.
Grigorian
Ruben
R
Institute of Ophthalmology and Visual Science, New Jersey Medical School, 90 Bergen Street, Newark, NJ 10703-2499, USA.
Chang
John
J
Zarbin
Marco
M
Del Priore
Lucian
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D019904:Polymethyl Methacrylate; D011126:Polypropylenes; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity
D011126:Polypropylenes; D019904:Polymethyl Methacrylate