Simplified Technique for Suturing Dislocated Posterior Chamber Intraocular Lens to the Ciliary Sulcus

To the Editor. —We read with interest the report in the November 1989 issue of theArchivesby Dr Smiddy1on internal suturing technique for dislocated posterior chamber intraocular lenses (IOLs). We believe that Dr Smiddy has introduced an exciting and innovative technique for this unique management problem. We would like to suggest a modification of this technique and describe its use in a patient. We believe that this modified technique effectively reduces the intraocular manipulation and simplifies the procedures. Report of a Case. —A 40-year-old black man underwent an extracapsular extraction for traumatic cataract. Phacoemulsification used to remove the nucleus was uneventful; however, during removal of the lens cortex a central gap was noted in the posterior capsule. The surgeon considered the capsular support to be adequate and a "J"-loop posterior chamber IOL was inserted after the injection of sodium hyaluronate. The iris was retracted to confirm ciliary