title: Scleral fixation technique using a hydrophobic foldable intraocular lens with ring-shaped connecting bridges.
abstract: We introduce a new method of scleral fixation using a hydrophobic foldable intraocular lens (IOL) with ring-shaped connecting bridges. A double-armed 10-0 polypropylene suturing needle is inserted using the routine ab externo technique. The midportion of the thread is pulled out through a main wound and cut. Using another 10-0 polypropylene needle, the IOL is sutured at both inner ring-shaped connecting bridges (inner shorter rim). The ring-shaped connecting-bridges IOL was carefully injected using the IOL cartridge with gentle pulling out of the thread. The externalized sutures were tied at the corresponding sites. All ties between 2 cut threads were performed using a European death knot. A scleral fixation outcome with the ring-shaped connecting-bridges IOL was similar to a poly(methyl methacrylate) IOL outcome; however, the surgeon should consider the possibility of a postoperative myopic shift.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors: From the Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea. Electronic address: harryrho@gmail.com.
authors: Seungsoo
authors: S
authors: Rho
authors: From the Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea.
authors: Won Kyung
authors: WK
authors: Song
authors: From the Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea.
authors: Youngje
authors: Y
authors: Sung
authors: From the Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea.
authors: Hee Jung
authors: HJ
authors: Kwon
authors: From the Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, South Korea.
authors: Helen
authors: H
authors: Lew
mesh_terms: D000368:Aged; D001672:Biocompatible Materials; D005260:Female; D006801:Humans; D057927:Hydrophobic and Hydrophilic Interactions; D019654:Lens Implantation, Intraocular / Q000295:instrumentation / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011126:Polypropylenes; D011474:Prosthesis Design; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014821:Vitrectomy
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes