Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach

Figure 1

(a) Two scleral limbal-based flaps at 3 and 9 o’clock were created. Three 23-gauge vitrectomy ports were introduced, two passing through the scleral flaps, with an accessory 25-gauge light source introduced at 12 o’clock. (b) After complete vitrectomy, the lens was raised to the middle of the vitreous cavity using two peeling forceps. Each haptic was snared by a previously prepared loop; then the suture was tensed around the middle of the haptic. (c) Once the two haptics of the lens were captured, the lens was repositioned in the sulcus by simply tensing the two sutures. (d) Once the two haptics of the lens were repositioned in the sulcus, the sclerotomies were closed with the same sutures as those holding the lens.

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