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Sutureless scleral fixation technique may enable posterior chamber IOL placement

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Jonathan L. Prenner

BOSTON — A small study presented here suggested that sutureless scleral fixation may adequately secure an IOL in the posterior chamber.

This method involves fixating the IOL within a sutureless intrascleral tunnel and was originally described as an anterior chamber technique, Jonathan L. Prenner, MD, said at the American Society of Retina Specialists meeting. The study cohort included six patients who were either aphakic or had dislocated IOLs.

"You get to have a posterior lens position, and you do not rely on sutures, and you get excellent centration and great stability," Dr. Prenner said, adding that the technique takes no longer than placing an anterior chamber IOL.

After 6 months to a year of follow-up, all eyes had significant visual acuity improvements associated with treating aphakia, and there were no postop complications, re-operations, or haptic exposures or intrusions. Longer follow-up is intended.

• Disclosure: Dr. Prenner has no relevant financial disclosures.