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Updated: Feb 8, 2026

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
[Surgical technique of retropupillary iris-claw fixated IOL reimplantation]
Yu N Yusef1, S N Yusef1, K S Avetisov1
1Research Institute of Eye Disease, 11A Rossolimo St., Moscow, Russian Federation, 119021.
Abstract:
Prevention and treatment of cataract surgery complications in patients with lens subluxation remains one of the current problems of phaco surgeries.
Purpose:
To develop and to test the surgical technique for reimplantation of in-the-bag dislocated intraocular lenses (IOL) or sulcus-fixated IOL.
Material And Methods:
Surgical outcomes of 150 patients (150 eyes) with in-the-bag IOL dislocation (122 eyes) or sulcus fixated IOL dislocation (28 eyes) were analyzed. The follow-up period lasted 1-3 years.
Results:
In all cases the dislocated IOL was removed and retropupillary iris-claw 'Artisan' IOL implantation was performed. After the IOL exchange, visual acuity improved in all patients, while the fixation of retropupillary IOL remained stable.
Conclusion:
This surgical technique of dislocated IOL exchange coupled with retropupillary implantation of 'Artisan' IOL provides reliable anatomic and functional results.
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