Slipknot for scleral fixation of intraocular lenses

We describe a simple, quick technique to construct a slipknot that can be s nared around the haptic of an intraocular lens (IOL) during transscleral fi xation of a posterior chamber IOL or repositioning of a dislocated IOL. An in vitro experiment showed that the time required for the slipknot method w as significantly less than that for the traditional triple-knot method. An additional advantage is that the slipknot technique can be performed by a s ingle surgeon using standard ophthalmic instrumentation. In addition, the s lipknot is as secure as a triple knot. (C) 2001 ASCRS and ESCRS.