title: [Combination of different techniques for secondary anchoring of intraocular lenses].
abstract: BACKGROUND
  The four fundamental techniques of secondary intraocular lens (IOL) fixation, namely sulcus placement, scleral or iris suture fixation and scleral haptic fixation can be combined in special situations.
  
  
  OBJECTIVE
  When is a combination of different techniques advisable?
  
  
  METHODS
  This article describes our experiences and gives an example of combined technique use.
  
  
  RESULTS
  These situations arise in cases when neighboring ocular structures are only partially preserved or show particular distinctive defects that can be repaired at the time of secondary IOL anchoring. This article presents a case of IOL-induced iris chafing and traumatic iridodialysis which was closed by a combined technique of iris suture and scleral suture fixation.
  
  
  CONCLUSIONS
  A combination of different anchoring techniques for secondary IOL implantation can achieve a simultaneous repair of perilenticular structures and reduce the amount of suture material used.
authors.affiliation: Augenklinik, Philipps-Universität Marburg sowie Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldinger Str., 35043, Marburg, Deutschland, sekundo@med.uni-marburg.de.
authors.forename: W
authors.initials: W
authors.lastname: Sekundo
authors.forename: T
authors.initials: T
authors.lastname: Bertelmann
authors.forename: S
authors.initials: S
authors.lastname: Schulze
mesh_terms: D003131:Combined Modality Therapy / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007498:Iris / Q000293:injuries* / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D053441:Suture Anchors; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome