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Updated: Sep 28, 2025

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Intracorneal knot or flange depot fixation: new transscleral technique for intraocular lens fixation
Arseniy A Kojuhov1, Lisa B Arbisser, Sergey S Anisimov
1From the Eye Clinic Spectr, Moscow, Russia (Kojuhov, Unguryanov); John A. Moran Eye Center, University of Utah, Salt Lake City, Utah (Arbisser); Eye Center Vostok-Prozrenie, Moscow, Russia (S.S. Anisimov, N.S. Anisimova); Vietnam's National Eye Hospital, Hanoi, Vietnam (Anh); A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia (S.S. Anisimov, Anh, N.S. Anisimova).
Abstract:
A new surgical technique of transscleral-intracorneal suture fixation of intraocular lenses with suture ends located within the transparent corneal or corneal-limbal paracentesis is reported. This new technique significantly reduces scleral and conjunctival trauma, is minimally invasive, is simple to perform, is not associated with complicated intraocular surgical maneuvers, and precludes suture knot, flange, and suture-end erosion. The internal part of the corneal stroma or corneal-limbal area serves as a secure depot for suture-end fixation with durable resistance. The technique enables visualization of the exact position of suture ends over time.
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