Lens Rescue: Double-Flanged Technique

Drs. Tavish Nanda and Chirag Shah use the double-flanged technique to rescue a dislocated scleral-sutured polymethylmethacrylate lens that was previously placed secondary to blunt trauma. The inferior suture remained intact, providing the opportunity to perform a lens rescue rather than a large-incision explantation. The dislocated superior haptic was elevated into the anterior chamber and a small scleral tunnel was made to externalize the haptic. Once stability of the initial flange in the haptic eyelet was ensured, the IOL was then repositioned into the eye and a second flange was created. At 1 month post-op, the patient's vision had returned to baseline.

Financial Disclosures: Dr. Tavish Nanda discloses no financial relationships. Dr. Chirag Shah discloses financial relationships with Alcon Laboratories, Apellis Pharmaceuticals, EyePoint, Genentech, JCyte, National Eye Institute, Novartis Pharma, Regeneron Pharmaceuticals, Regenexbio, and Vitrean (Grant Support).