Step-by-Step 4-Flanged Polypropylene Intrascleral Fixation of Akreos IOL

In this surgical video, Dr. Sergio Canabrava demonstrates intrascleral fixation of an Akreos IOL using his double-flanged suture technique. First, he threads 6-0 Prolene suture through the Akreos eyelets to align the IOL. Next, he threads the suture through the sclera only on the left side; he threads the other side only after inserting the IOL into the eye with a Buratto forceps. The key, he explains, is to position the prolypropylene on the right side to prevent the IOL from going into the posterior chamber. He then makes the first and second flanges from the bottom and can, at this point, better position the IOL. He then makes the third and fourth flanges from the top. It is important to insert the 4 flanges inside the scleral tunnel to avoid endophthalmitis. Dr. Canabrava is currently testing the best way to perform this technique using a cartridge.

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