Scleral fixation of a subluxated intraocular lens–capsular bag complex through a fibrotic continuous curvilinear capsulorhexis

Several strategies have been devised to manage in-the-bag intraocular lens (IOL) subluxation. We describe a method of fixating the IOL–capsular bag complex to the sclera using the fibrotic ring that develops around the continuous curvilinear capsulorhexis (CCC). Two, preferably 3, double-armed 10-0 polypropylene sutures are passed around the fibrotic CCC rim of the capsule and out the Hoffman scleral pockets and then tied in the scleral tunnels to center the IOL–bag complex. This technique provides an alternative approach to repositioning and fixating the IOL–bag complex that is especially useful in cases in which removal and replacement of the IOL would be difficult. It also provides more than 2-point fixation to achieve perfect IOL centration.

Financial Disclosure

No author has a financial or proprietary interest in any material or method mentioned.