title: Anterior chamber intraocular lens, sutured posterior chamber intraocular lens, or glued intraocular lens:  where do we stand?
abstract: OBJECTIVE
  To review the recent literature addressing the surgical approaches to intraocular lens (IOL) fixation in the setting of inadequate capsular support.
  
  
  RESULTS
  Lack of capsular support is a commonly encountered problem facing the anterior segment surgeon. Recent reports suggest that visual outcomes are generally good with modern IOLs and surgical approaches. More recently described techniques include sutureless scleral fixation and intraocular endoscopy-guided suture placement.
  
  
  CONCLUSIONS
  Many clinical circumstances require extracapsular IOL fixation and multiple options exist in the setting of inadequate capsular support. Ultimately, there are many factors that must be considered in selecting an appropriate surgical approach. These include ocular history as well as the skill, experience, and comfort level of the individual surgeon. The myriad of options that now exist for IOL fixation increases the likelihood that patients with a wide variety of pathologic states will attain their best possible visual outcome.
authors.affiliation: Moran Eye Center, Department of Pharmacotherapy, University of Utah, School of Medicine, 50 North Medical Drive, Salt Lake City, Utah 84132, USA.
authors.forename: Derick G
authors.initials: DG
authors.lastname: Holt
authors.forename: Jason
authors.initials: J
authors.lastname: Young
authors.forename: Brian
authors.initials: B
authors.lastname: Stagg
authors.forename: Balamurali K
authors.initials: BK
authors.lastname: Ambati
mesh_terms: D000867:Anterior Chamber / Q000601:surgery*; D006801:Humans; D007905:Lens Diseases / Q000628:therapy*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000145:classification / Q000379:methods*; D007910:Lenses, Intraocular; D057972:Posterior Eye Segment / Q000601:surgery*; D016896:Treatment Outcome
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