Transscleral fixation of a dislocated silicone plate haptic intraocular lens via the pars plana

A method for transscleral fixation of silicone plate haptic posterior chamber intraocular lenses (PC IOLs) via the pars plana is described. One 10-0 polypropylene transscleral suture passed through the sclera and the PC IOL hole and a similar suture passed through the sclera only were withdrawn outside the eye thorough the pars plana and tied together. Pulling up the scleral end of one suture placed the PC IOL haptic in the sulcus and the knot was pulled outside the eye. Perfluorocarbon liquid was used during the procedure to safely manipulate the PC IOL. The PC IOL was well centered at 3 months of follow-up. Posteriorly dislocated silicone plate haptic PC IOLs can be safely sutured to the sclera via the pars plana by this method.