title: Single suture iris-to-capsulorhexis fixation for in-the-bag intraocular lens subluxation.
abstract: We present a simplified modification to a technique for early or mild in-the-bag subluxation that avoids conjunctival and scleral incisions and minimizes intraocular manipulation. While the capsulorhexis edge is grasped with an intraocular forceps to stabilize the IOL-capsular bag complex, a 10-0 polypropylene suture on a long curved needle is used to secure the fibrotic superior capsulorhexis edge to the midperipheral iris at 12 o'clock using a combination of a modified McCannel suture and a Siepser sliding knot.
  
  
  BACKGROUND
  Dr. Condon receives speaker and consultant fees from Alcon Surgical, Inc., Allergan, Inc., and Microsurgical Technology. Although the Microsurgical Technology Condon snare instrument is named after him, Dr. Condon reports no patents, fees, or payments related to it. Dr. Siegel has no financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Glaucoma Center of Michigan (Siegel), Southfield, the Kresge Eye Institute (Siegel), Wayne State University, Detroit, and the Department of Ophthalmology (Siegel), William Beaumont Hospital, Royal Oak, Michigan; the Department of Ophthalmology (Condon), Allegheny General Hospital, Pittsburgh, Pennsylvania, USA. Electronic address: msiegel@med.wayne.edu.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Siegel
authors.affiliation: From the Glaucoma Center of Michigan (Siegel), Southfield, the Kresge Eye Institute (Siegel), Wayne State University, Detroit, and the Department of Ophthalmology (Siegel), William Beaumont Hospital, Royal Oak, Michigan; the Department of Ophthalmology (Condon), Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors.forename: Garry P
authors.initials: GP
authors.lastname: Condon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D060437:Artificial Lens Implant Migration / Q000209:etiology / Q000601:surgery*; D019923:Capsulorhexis / Q000379:methods*; D017889:Exfoliation Syndrome / Q000150:complications; D005260:Female; D005902:Glaucoma, Open-Angle / Q000150:complications; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011126:Polypropylenes; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity
chemical_list: D011126:Polypropylenes