title: Scleral fixation of a foldable intraocular lens with polytetrafluoroethylene sutures through a Hoffman pocket.
abstract: Scleral fixation of intraocular lenses (IOLs) is traditionally performed after conjunctival dissection and preparation of scleral flaps. The Hoffman pocket technique creates scleral pockets without conjunctival dissection. We describe a technique that uses a Hoffman pocket and 7-0 polytetrafluoroethylene (Gore-Tex) sutures for scleral fixation of a foldable posterior chamber IOL in patients with insufficient capsule support. The technique eliminates the need for conjunctival dissection, scleral cauterization, knot rotation, and sutured wound closure. The favorable properties of the suture material and the use of a small incision to insert a foldable IOL are additional advantages.
  
  
  
  None of the authors has a financial or proprietary interest in any material or method mentioned.
authors: From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India. Electronic address: drsudeepdas@gmail.com.
authors: Sudeep
authors: S
authors: Das
authors: From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India.
authors: Maneck
authors: M
authors: Nicholson
authors: From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India.
authors: Kalyani
authors: K
authors: Deshpande
authors: From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India.
authors: Mathew Kurian
authors: MK
authors: Kummelil
authors: From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India.
authors: Somshekar
authors: S
authors: Nagappa
authors: From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India.
authors: Bhujang K
authors: BK
authors: Shetty
mesh_terms: D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D011138:Polytetrafluoroethylene; D012590:Sclera; D013536:Suture Techniques; D013537:Sutures
chemical_list: D011138:Polytetrafluoroethylene