FEB 15, 2019
AAO 2018 Video Program
Retina/Vitreous, Vitreoretinal Surgery
A commonly described technique for sutured IOL involves the 4-point fixation of an acrylic lens, which is subject to decentration and folding/distortion, based on the position and tension of the lateral sutures at the haptics. A modified technique is demonstrated that allows for easy post-fixation centration independent of suture tension, thus allowing greater surgical flexibility. An acrylic lens is fixated using the 4 haptics with a continuous running Gore-Tex suture. Final adjustment/centration of the IOL is performed with the haptics oriented superior/inferior on the lateral tracks of the suture. The IOL maintains good centration, even with the greater degree of freedom.