Sutured Scleral-Fixated Intraocular Lens in Posterior Capsular Rent

  • Yokrat Ton
  • Fani Segev
  • Ehud I. AssiaEmail author


Intraocular lens (IOL) implantation in cases lacking sufficient capsular support is challenging to the anterior segment surgeon. If the anterior capsule is intact and with no tears at the capsulorhexis margin, then a sulcus fixation is preferred by most surgeons; however, square-edged one-piece hydrophobic lenses should be avoided. If there is no capsular support to ascertain stable fixation, then other alternatives are used, such as scleral fixation of a three-piece IOL, either by suturing or by placing the haptics in a scleral tunnel, iris fixation using sutures or iris claw lenses, and anterior chamber angle supported IOLs.


Suture Fixation Anterior Chamber Angle Scleral Flap Scleral Tunnel Suture Breakage 
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Supplementary material

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Copyright information

© Springer India 2017

Authors and Affiliations

  1. 1.Department of OphthalmologyMeir Medical Center and Eit Tal Eye Center, Affiliated with Sackler Faculty of Medicine, Tel Aviv UniversityKfar SabaIsrael

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