title: Transscleral suture fixation following recurrent toric intraocular lens rotation.
abstract: We describe a surgical technique of transscleral suture fixation for recurrent rotation of a double-loop hydrophilic acrylic toric intraocular lens (IOL) in the capsular bag. Two 9-0 polypropylene sutures are placed in the proximal and distal angulations of 1 of the IOL haptics through the capsular bag. The clockwise and counterclockwise traction provided by these sutures prevents rotation of the IOL in either direction. This technique can be used in cases of spontaneous postoperative IOL rotation to achieve stabilization. In the case we describe, the IOL remained stable 11 months following transscleral suture fixation at the desired axis.
authors.affiliation: From the Department of Ophthalmology (Arjmand), the Ottawa Eye Institute, University of Ottawa, Ottawa, the Division of Ophthalmology (Chan), Department of Surgery, McMaster University, Waterloo Regional Campus, the Ocular Health Centre (Chan), Kitchener, the Department of Ophthalmology and Vision Sciences (Ahmed), University of Toronto, Toronto, the Trillium Health Partners (Ahmed), Mississauga, and Credit Valley EyeCare (Ahmed), Mississauga, Ontario, Canada.
authors.forename: Parnian
authors.initials: P
authors.lastname: Arjmand
authors.affiliation: From the Department of Ophthalmology (Arjmand), the Ottawa Eye Institute, University of Ottawa, Ottawa, the Division of Ophthalmology (Chan), Department of Surgery, McMaster University, Waterloo Regional Campus, the Ocular Health Centre (Chan), Kitchener, the Department of Ophthalmology and Vision Sciences (Ahmed), University of Toronto, Toronto, the Trillium Health Partners (Ahmed), Mississauga, and Credit Valley EyeCare (Ahmed), Mississauga, Ontario, Canada.
authors.forename: Toby Y B
authors.initials: TY
authors.lastname: Chan
authors.affiliation: From the Department of Ophthalmology (Arjmand), the Ottawa Eye Institute, University of Ottawa, Ottawa, the Division of Ophthalmology (Chan), Department of Surgery, McMaster University, Waterloo Regional Campus, the Ocular Health Centre (Chan), Kitchener, the Department of Ophthalmology and Vision Sciences (Ahmed), University of Toronto, Toronto, the Trillium Health Partners (Ahmed), Mississauga, and 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: D000869:Anterior Eye Segment / Q000000981:diagnostic imaging; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D018918:Phacoemulsification; D011126:Polypropylenes; D011475:Prosthesis Failure; D012008:Recurrence; D012029:Refraction, Ocular / Q000502:physiology; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D016683:Supine Position; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology
chemical_list: D011126:Polypropylenes