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    Scleral Incision is a Good Option for Secondary Iris Claw Lens Implantation

    Cataract/Anterior Segment

    Dr. Monia Cheour presents the case of an aphakic patient who underwent secondary iris claw lens implantation after IOL explantation and anterior vitrectomy. Two paracenteses were performed at 3 and 9 o’clock, then a fornix-based conjunctival flap was created and a scleral cautery applied. Suture traction was placed in the clear cornea and a scleral incision was made 2 millimeters from the limbus. A sclerocorneal tunnel extending 1.5 millimeters to the clear cornea was created, a keratotomy was performed, and finally the iris claw lens was inserted and the iris locked into the claw. This maneuver was repeated on the other side.

    Financial Disclosures: Dr. Monia Cheour discloses no financial relationships.