Cow-hitch technique for a sutured scleral-fixated intraocular lens (IOL). a. Sutured posterior chamber IOL with the hitches attached to the eyelet on the haptics and the IOL partially in place. b. Same patient as in part a with an iris device being sutured over the top of the posterior chamber IOL c. Postoperative slit-lamp photograph of the same patient. d. Another case showing the sutures affixed on one haptic (arrow), the hitch about to tighten on the other, with the IOL (asterisk) still outside the eye.