Surgical technique for transcleral-fixation of a dislocated posterior chamber intraocular lens

To report a cornea-pars plana through-and-through technique for the repositioning and transcleral suture fixation of a dislocated posterior chamber intraocular lens.

Interventional case series.

For transscleral suture fixation of a dislocated posterior chamber intraocular lens, one needle of a double-arm 10-0 Prolene needle is passed through the paracentesis site then underneath the intraocular lens haptic, and through the intended scleral outlet on the opposite side. The other needle of the Prolene suture is also passed through the same paracentesis, above the same haptic, and through the intended scleral outlet on the opposite side. The haptic is now well supported, and the knot is tied. A similar procedure is performed for the second haptic if necessary.

Three eyes (three patients) were operated on using this technique with good visual and anatomic outcome.

The described technique is simple, safe, allows early visual rehabilitation, and can be accomplished without an assistant.