title: Ab externo technique for accurate haptic placement of transscleral sutured posterior chamber intraocular lenses.
abstract: A modified technique is presented for transscleral suture fixation of posterior chamber intraocular lenses for aphakic correction in cases with inadequate capsular support. An ab externo approach for suture externalization is described that minimizes intraocular manipulation and facilitates accurate placement of haptics in the ciliary sulcus, thereby reducing the risk of lens tilt and decentration. This technique eliminates intraocular suture knots and reduces the amount of time the globe is open during surgery by creating two intraocular suture loops in preparation for posterior chamber intraocular lens placement before creating a limbal incision.
authors.affiliation: University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.
authors.forename: Kaushal
authors.initials: K
authors.lastname: Kulkarni
authors.forename: Marco
authors.initials: M
authors.lastname: Zarbin
authors.forename: Lucian V
authors.initials: LV
authors.lastname: Del Priore
authors.forename: Tongalp H
authors.initials: TH
authors.lastname: Tezel
mesh_terms: D001036:Aphakia, Postcataract / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D011126:Polypropylenes; D011474:Prosthesis Design; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures
chemical_list: D011126:Polypropylenes