title: Four-point suture scleral fixation of a hydrophilic acrylic IOL in aphakic eyes with insufficient capsule support.
abstract: OBJECTIVE
  To determine whether suture fixation of a hydrophilic acrylic intraocular lens (IOL) with 4 hollow haptics through a small incision can be an alternative to 2-point fixation of sutured IOLs.
  
  
  METHODS
  Private surgical center, Dallas, Texas, USA.
  
  
  METHODS
  Four-point suture fixation of an Akreos IOL was performed in 1 eye each of 9 patients with aphakia and insufficient capsule support.
  
  
  RESULTS
  Postoperatively, the corrected distance visual acuity and spherical equivalent were improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). Cases of vitreous hemorrhage, ocular hypertension, IOL decentration, and peripheral choroidal effusions resolved without treatment or with intervention in the early postoperative period.
  
  
  CONCLUSIONS
  In this preliminary study, suturing a hydrophilic acrylic IOL with 4 hollow haptics to the sclera had a low risk for CME and pigmentary dispersion glaucoma.
authors.affiliation: Vision Quest Surgical Center, 5421 La Sierra Drive, Dallas, Texas 75231, USA. orenfass@hotmail.com
authors.forename: Oren N
authors.initials: ON
authors.lastname: Fass
authors.forename: Wesley K
authors.initials: WK
authors.lastname: Herman
mesh_terms: D000180:Acrylic Resins; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000601:surgery*; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
chemical_list: D000180:Acrylic Resins; D011126:Polypropylenes