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Updated: Mar 10, 2026
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
SCLERAL SUTURE FIXATION TECHNIQUE FOR ONE-PIECE ACRYLIC INTRAOCULAR LENS
Ella H Leung1, Amir Mohsenin, William E Smiddy
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, Florida.
Purpose:
To apply a previously published scleral fixation technique to secure one-piece acrylic intraocular lenses (IOLs) to the sclera.
Methods:
Retrospective, consecutive, noncomparative case series.
Results:
All patients (16 eyes of 15 patients) who underwent scleral fixation of 1-piece acrylic IOLs using the loop method from 2014 to 2016 were included. The mean follow-up was 8.1 months. Repositioning of dislocated 1-piece acrylic IOLs was performed in 8 eyes, a primary implantation in 5 eyes, and IOL exchange in 3 eyes. All IOLs remained well-centered postoperatively. The vision improved from an initial best-corrected visual acuity of 0.97 ± 0.74 logMAR (Snellen equivalent ≈20/190) to 0.47 ± 0.49 logMAR (≈20/60, P = 0.031) at the last follow-up. The postoperative complications were self-limited.
Conclusion:
The previously reported scleral suture fixation technique can be readily applied to one-piece acrylic IOLs.
