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Updated: May 13, 2026
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Scleral fixation underneath an intact conjunctiva.
Arif Koytak1, Esin Sogutlu Sari, Muhammed Altinisik
1Bexmialem Vakif University, Istanbul, Turkey. akoytak@yahoo.com
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|March 1, 2013
Summary
A novel suture burial technique offers secure fixation for intraocular lenses and capsular tension rings, minimizing discomfort and improving outcomes. This method avoids external suture exposure, enhancing patient comfort and cosmetic results.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Intraocular lens (IOL) and capsular tension ring (CTR) fixation are crucial in cataract surgery.
- Current fixation methods can sometimes lead to complications like suture exposure or patient discomfort.
Purpose of the Study:
- To describe an alternative technique for IOL and CTR fixation.
- The technique utilizes the ciliary sulcus or pars plana for suture placement.
Main Methods:
- A novel suture burial technique is presented.
- This method involves burying the knot and suture ends within the sclera.
- It does not require a scleral flap, pocket, or conjunctival opening.
Main Results:
- Over approximately 25 eyes in 4 years, no suture exposure has been observed.
- The technique resulted in less patient discomfort compared to traditional methods.
- Improved anatomic and cosmetic outcomes were noted from the first postoperative day.
Conclusions:
- This suture burial technique causes minimal tissue damage and scarring.
- The procedure leads to almost no postoperative discomfort for the patient.
- It offers a safe and effective alternative for IOL and CTR fixation.
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