Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome

Figure 1

Photographs showing the sutured intrascleral posterior chamber intraocular lens fixation with ciliary sulcus location. (a) Two-millimeter scleral incisions were made at 1 o’clock and 7 o’clock. (b) The leading haptic of a three-piece IOL was held with forceps and then extracted from the eye through the 7 o’clock scleral incisions. (c) The trailing haptic was held with forceps and externalized onto the sclera through the 1 o’clock scleral incisions. (d) Two 3.0 mm scleral tunnels (1 o’clock and 7 o’clock) of approximately 30% scleral thickness were created along the limbus using a disposable syringe needle. (e) The haptics were inserted approximately 2-3 mm into the scleral tunnel. (f) The scleral incision was closed with 9–0 nonabsorbable sutures that were tied to fixate the haptic.

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