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Fig. 2 | BMC Ophthalmology

Fig. 2

From: A modified intrascleral intraocular lens fixation technique with fewer anterior segment manipulations: 27-gauge needle-guided procedure with built-in 8–0 absorbable sutures

Fig. 2

Surgical procedure of 27-gauge needle-guided intrascleral IOL fixation technique with 8–0 absorbable sutures. a A 3-piece IOL was placed into the injector, the end of the leading haptic was extruded and cauterized to create a small flange (1.2 time larger) using an ophthalmic cautery device. b Several knots were tied at the end of the leading haptic. c The IOL was inserted into the anterior chamber, and the trailing haptic was kept outside to prevent the IOL from falling into the vitreous cavity. d The trailing haptic was cauterized (1.2 times larger), tied to the 10 o’clock 8–0 suture and then carefully inserted into the anterior chamber. e The sutures were then grasped with forceps to guide haptics externalization through the sclerotomies. f A sufficient flange (1.5 times larger) was created at the end of the haptics to prevent the haptics from slipping off. g Each flange of the haptics was pushed back and fixed into previous needle-created scleral tunnel. h Closing of the scleral flaps

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