International Ophthalmology

, Volume 38, Issue 5, pp 2183–2186 | Cite as

Scleral suture fixation technique for dislocated plate haptic toric IOL

  • Remzi KaradagEmail author
  • Bahar Gunes
  • Veysel Aykut
  • Halit Oguz
  • Ahmet Demirok
Case Report


Purpose We describe a scleral suture fixation technique for dislocated plate haptic toric intraocular lens (IOL) implantation. Materials and methods A double-armed 10-0 straight polypropylene suture was passed into the eye from the sclera (2 mm away from the limbus). A suture needle was passed through the hole on the corner of the IOL and pulled out from the paracentesis with a 27-gauge needle. Afterward, the suture needle was reinserted from the same paracentesis and then removed from the eye with the help of a 27-gauge needle entering the eye from a nearby point to the first scleral entrance. The needle was passed through the end of the loop and pulled slightly to initiate the formation of a cow-hitch knot. The same procedure was applied to the other hole on the plate haptic. Both sutures were adjusted and fixed to the sclera with a Z suture. Results No complications were observed and at the follow-up visits, uncorrected visual acuity was 0.8 with decimal. Conclusion Axial, sagittal, and rotational stability rules are taken into consideration, scleral fixation surgery for a dislocated plate haptic foldable toric IOL is an alternative method to eliminate astigmatic refractive error.


Capsular defect IOL dislocation Plate haptic toric IOL Scleral fixation Toric IOL 


Compliance with ethical standards

Conflict of interest

The authors have no financial interest in any of the products mentioned in the manuscript. None of the authors has any conflicts of interest in this study.

Patient consent

The patient has consented to the submission of the case report for submission to the journal.


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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Remzi Karadag
    • 1
    Email author
  • Bahar Gunes
    • 1
  • Veysel Aykut
    • 1
  • Halit Oguz
    • 1
  • Ahmet Demirok
    • 1
  1. 1.Department of Ophthalmology, School of MedicineIstanbul Medeniyet UniversityGoztepe, IstanbulTurkey

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