Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction

Abstract

The authors, after analyzing the different clinical situations where a secondary IOL implantation is indicated, describe 3 surgical techniques based on a common premise relying on the use of lens guide sutures for transportation or transportation and permanent fixation of the IOL's loops. The transportation sutures makes secondary implantation easier in anterior chamber lenses in technique I. The double purpose of transportation and permanent fixation at the angle permits a safe procedure with anterior chamber lenses in cases with no iris support in technique II and the possibility of sulcus or ciliary body fixation of a J type posterior chamber lens after ICCE in technique III.