Modified transscleral suture for sulcus fixation of posterior chamber lenses

We describe a modified technique to minimize the risk of hypotony during the placement of transscleral anchoring sutures. An anchor thread is used to transsclerally fixate a posterior chamber intraocular lens (IOL). The IOL is placed precisely and without trauma. The technique was used in 17 patients. Postoperatively, all IOLs were well centered. Visual acuity increased from a preoperative mean of 0.25 to a postoperative mean of 0.40. The mean postoperative refraction was -0.75 diopter (D) (range +0.50 to -4.50 D). Longer phases of hypotony do not occur, and the use of CIF needles can be omitted.