title: Tiltless and centration adjustable scleral-sutured posterior chamber intraocular lens.
abstract: We present a technique for posterior chamber intraocular lens (IOL) scleral suturing for the management of aphakia, which includes the use of a needleless Gore-Tex CV-8 suture to create a girth hitch around both IOL fixation eyelets using microinstruments. This technique avoids intraocular needle manipulation, provides long-term IOL stability, avoids both passive and torque-induced IOL tilt, and enables fine tuning of the intraoperative IOL centration using the Purkinje reflexes.
  
  
  BACKGROUND
  Dr. Snyder is a consultant to Alcon Laboratories, Inc., Microsurgical Technology, Haag-Streit AG, and Humanoptics AG. Dr. Perez has no financial or proprietary interest in any material or method mentioned
authors.affiliation: From the Cincinnati Eye Institute, Cincinnati, Ohio, USA. Electronic address: msnyder@cincinnatieye.com.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Snyder
authors.affiliation: From the Cincinnati Eye Institute, Cincinnati, Ohio, USA.
authors.forename: Mauricio A
authors.initials: MA
authors.lastname: Perez
mesh_terms: D001036:Aphakia, Postcataract / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D011138:Polytetrafluoroethylene; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures
chemical_list: D011138:Polytetrafluoroethylene