IRIS FIXATION OF A DECENTERED SILICONE PLATE HAPTIC INTRAOCULAR LENS - DOUBLE KNOT TECHNIQUE

We describe a novel technique for fixating a decentered silicone plate haptic intraocular lens. In the absence of posterior capsular tear or zonular dehiscence, the superior eyelet of the silicone plate haptic intraocular lens is sutured to the iris at the 12-o'clock position usi ng a double knot technique. Two 10-0 nonabsorbable surgical (Prolene) sutures used to preplace an iris loop and a loop around the intraocula r lens eyelet are sutured together at the 9-o'clock position. The intr aocular lens is repositioned by anchoring the iris sutures at the l2-o 'clock position. This technique allows one to avoid an explantation of the lens and implantation of a new intraocular lens.