By Leandro Cabral Zacharias, MD
    3rd Annual Global Video Contest
    Cornea/External Disease

    This video demonstrates a transconjunctival approach for a posteriorly dislocated intraocular lens using a modification of the technique described by Hoffmann. After the vitrectomy trochars are placed, two scleral pockets 180 degrees apart are created from the limbus toward the conjunctival fornices. After that, two straight needles of a 10-0 prolene suture transect the scleral pocket that was created, as shown in the video. This technique described for IOL fixation warrants a very stable and centered IOL and has several advantages over other techniques, such as not having to remove the IOL from the eye and being minimally invasive, which is particularly important in eyes with multiple previous surgeries.