title: Ab-interno scleral suture loop fixation with cow-hitch knot in posterior chamber intraocular lens decentration.
abstract: OBJECTIVE
  To describe a simplified ab-interno cow-hitch suture fixation technique for repositioning decentered posterior chamber intraocular lens (PC IOL).
  
  
  METHODS
  Two cases are presented with the surgical correction of decentered and subluxated IOL. Ab-interno scleral suture fixation technique with hitch-cow knot in the eye was performed with a ciliary sulcus guide instrument and 1 year follow-up was completed.
  
  
  RESULTS
  Both of the patients had well centered lenses postoperatively. Corrected distant and near visual acuities of the patients were improved. There was no significant postoperative complication. In the follow-up period of 1 year, no evidence of suture erosion was found.
  
  
  CONCLUSIONS
  Ab-interno scleral suture loop fixation with hitch-cow knot in the eye was effective in repositioning decentered or subluxated PC IOLs with excellent postoperative centered lenses and visual outcomes.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.
authors.forename: Ertuğrul
authors.initials: E
authors.lastname: Can
authors.forename: Nurullah
authors.initials: N
authors.lastname: Koçak
authors.forename: Özlem Eşki
authors.initials: ÖE
authors.lastname: Yücel
authors.forename: Adem
authors.initials: A
authors.lastname: Gül
authors.forename: Hilal Eser
authors.initials: HE
authors.lastname: Öztürk
authors.forename: Osman
authors.initials: O
authors.lastname: Sayin
mesh_terms: D000369:Aged, 80 and over; D060437:Artificial Lens Implant Migration / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology