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

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.