Reply: Scleral fixation technique with scleral cleft

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We have been using our technique of scleral fixation for more than 10 years, not only in cases of secondary IOL implantation (fixation of both haptics or fixation of 1 haptic and placement of the other haptic in the sulcus with capsule support), but also in cases in which broken haptics must be resutured.

The scleral cleft is created to bury the polypropylene (Prolene) 10.0 knot in the sclera. Because of the way the suture is fixated to the haptics (sailor loop), the knot does not untie. The scleral suture can be done in all 360 degrees of the globe. The scleral incision is only sutured in cases with thin sclera.

In 10 years of using this technique, we have not had a single case in which the suture ends protruded from the conjunctiva.