Double Rescue of Broken Sutures in Scleral-fixated IOLs

When using forceps to internalize Gore-Tex sutures during IOL placement, the filament may inadvertently be cut. If a suture breaks and the end is still externalized, another Gore-Tex suture can be tied around the externalized end and pulled back through the sclerotomy. If a suture breaks internally and the haptics are lost in the posterior segment, providing sufficient lighting (e.g., using a chandelier) allows the passage of a new Gore-Tex suture through the haptics so the lens can be anteriorized again. Using forceps in both hands to externalize the suture can also be employed.

Financial disclosures: Dr. Mélanie Hébert discloses financial relationships with Bayer Healthcare Pharmaceuticals, Fighting Blindness Canada, and Vision Health Research Network (Grant Support). Dr. Ali Dirani discloses financial relationships with Novartis, Abbvie, Bayer Healthcare Pharmaceuticals, and Hoffman La Roche (Consultant/Advisor, Lecture Fees/Speakers Bureau).