title: Sutureless intrascleral fixation of a custom-tailored iris prosthesis with an intraocular lens.
abstract: We describe a technique for sutureless intrascleral fixation of a 3-piece intraocular lens (IOL) and custom silicone iris prosthesis complex to address the optical and functional issues of aphakia and aniridia, as well as to restore excellent cosmesis. The 3-piece IOL is anchored to the iris prosthesis using the belt-loop technique. We believe the intrascleral haptic fixation is overall a more robust fixation method in patients with aphakia and aniridia, who are often younger and require a long-lasting anterior segment reconstruction.
  
  
  BACKGROUND
  Dr. Ahmed is a consultant to Alcon Laboratories, Inc., and Abbott Medical Optics, Inc. No other author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Department of Ophthalmology and Vision Sciences (Gooi, Ahmed), University of Toronto, Toronto, the Department of Ophthalmology (Teichman), University of Ottawa, Ottawa, Trillium Health Partners (Ahmed), and the Credit Valley EyeCare (Ahmed), Mississauga, Ontario, Canada.
authors.forename: Patrick
authors.initials: P
authors.lastname: Gooi
authors.affiliation: From the Department of Ophthalmology and Vision Sciences (Gooi, Ahmed), University of Toronto, Toronto, the Department of Ophthalmology (Teichman), University of Ottawa, Ottawa, Trillium Health Partners (Ahmed), and the Credit Valley EyeCare (Ahmed), Mississauga, Ontario, Canada.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Teichman
authors.affiliation: From the Department of Ophthalmology and Vision Sciences (Gooi, Ahmed), University of Toronto, Toronto, the Department of Ophthalmology (Teichman), University of Ottawa, Ottawa, Trillium Health Partners (Ahmed), and the Credit Valley EyeCare (Ahmed), Mississauga, Ontario, Canada. Electronic address: ike.ahmed@utoronto.ca.
authors.forename: Iqbal Ike K
authors.initials: II
authors.lastname: Ahmed
mesh_terms: D015783:Aniridia / Q000601:surgery; D001036:Aphakia, Postcataract / Q000601:surgery; D001187:Artificial Organs; D006801:Humans; D007498:Iris; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D012590:Sclera / Q000601:surgery*; D012599:Sclerostomy; D013524:Surgical Flaps; D013536:Suture Techniques