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    Editors' Choice
    03:07
    Cataract/Anterior Segment, IOLs and Implantation, Retina/Vitreous

    Drs. Guneet Sodhi and Rohit Adyanthaya present a case of a 72-year-old patient with a history of penetrating keratoplasty (PK). She was referred for a dislocated enVista MX60e aspheric hydrophobic acrylic single-piece IOL in the posterior segment. The surgeons decided to rescue the existing IOL lens by scleral fixation and avoid explantation. After a pars plana vitrectomy, the dislocated IOL was retrieved from the inferior vitreous and 8-0 Gore-Tex suture was threaded through the 2 eyelets. These eyelets were brought out through 4 scleral ports in order to create a 4-point fixation of the IOL in the sulcus through a modified ab interno handshake technique. This technique can be used to salvage an IOL without explantation while reducing the risk for endothelial loss and rejection of the PK graft, leading to an excellent visual outcome.

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