title: A new technique for suture fixation of posterior chamber intraocular lenses that eliminates intraocular knots.
abstract: 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.
authors.affiliation: Institute of Ophthalmology and Visual Science, New Jersey Medical School, 90 Bergen Street, Newark, NJ 10703-2499, USA.
authors.forename: Ruben
authors.initials: R
authors.lastname: Grigorian
authors.forename: John
authors.initials: J
authors.lastname: Chang
authors.forename: Marco
authors.initials: M
authors.lastname: Zarbin
authors.forename: Lucian
authors.initials: L
authors.lastname: Del Priore
mesh_terms: 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
chemical_list: D011126:Polypropylenes; D019904:Polymethyl Methacrylate