AUG 27, 2013
This letter describes a technique for suturing intraocular lens haptics to nonfibrotic anterior capsules.
It is a very clever riff on a previously published article on capsule membrane suturing of subluxed IOLs.
While only after the capsule has been fibrotic for some time can one suture to it without a tear, the letter’s authors note that surgeons can make tiny continuous curvilinear capsulorhexes in a fresh membrane and run a suture between them to membrane fixate. As long as the needle doesn't perforate the capsule it will hold - ingenious.
They say it is possible to expand capsular sutures to nonfibrotic capsules with this technique. It can even be used directly during the original complicated cataract surgery case on the naive anterior capsule, even before fibrosis occurs, greatly increasing the number of cases in which capsular sutures can be performed.