Three-Piece IOL Fixation with Gore-Tex Suture

Dr. Jordan Margo demonstrates a technique for suture fixating a 3-piece IOL following complex cataract surgery in a patient with IOL subluxation and symptomatic vitreous prolapse. This technique avoids making large sclerotomies and also preserves the conjunctiva. A 9-0 nylon suture is passed through a 30-gauge TSK needle and the suture loop is used to capture the 8-0 expanded polytetrafluoroethylene (Gore-Tex) suture around each haptic. The two entry points into the sclera are made perpendicular to the limbus to avoid IOL tilt. The Gore-Tex suture knot is then buried within a corneoscleral (Hoffman) pocket to help avoid suture erosion.

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