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To develop a novel sutureless intraocular lens (IOL) intrascleral fixation technique based on Double Flanged 5.0 Polypropylene Suture.
The novel method uses a 5.0 polypropylene suture and a bipolar cautery to create 2 flanges in the eyelets of the IOL and 2 flanges outside, in order the insert them inside the scleral tunnel and thus fixate the IOL.
This technique had been applied in 12 patients with aphakia following phacoemulsification complications. The mean preoperative and postoperative correct distance visual acuities were 0.45 ± 0.17 and 0.67 ± 0.27 (Snellen decimal units), respectively.
The four flanged technique improves and simplifies the existing single-piece, non-foldable IOL intrascleral fixation techniques.