We describe a new suture-free technique for fixating the capsular bag in patients with ectopia lentis. In this technique, we perform the capsulorhexis by femtosecond laser, insert a standard capsular tension ring (CTR) to redistribute capsular forces, and hydroprolapse the nucleus to the anterior chamber, leaving the capsular bag free of tension, as the phaco is performed above the iris plane. Finally, we use a 5.0 polypropylene suture in a capsular tension segment (CTS) to fixate the subluxated capsular bag in the sclera using a flanged method on both sides of the polypropylene without knots.
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This presentation is from the session "SYM-301: Challenging Cases in Cataract Surgery Video Symposium" from the 2019 ASCRS Annual Meeting held on May 4-7, 2019 in San Diego, California.