Scleral-Sutured CZ70BD IOL with Penetrating Keratoplasty

Drs. Nandini Venkateswaran and Melissa Daluvoy present a case of a patient with a history of trauma who had undergone a previous penetrating keratoplasty (PK) and pars plana vitrectomy and was left aphakic. Due to the failure of the corneal graft, they planned a repeat PK along with a scleral-sutured intraocular lens. In this case, a CZ70BD IOL was sutured to the sclera through Hoffman pockets using 2 double-armed 8-0 GoreTex sutures that were cow hitched to the eyelets on each haptic. The lens was sutured and inserted into the eye after removal of the failed corneal transplant. Once the new transplant was sowed on, the lens was centered and ensured to have no tilt. The GoreTex sutures were pulled through the Hoffman pockets, secured with knots and buried into the pockets to prevent future suture erosion.

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