Abstract
Scleral fixation is a versatile surgical approach in the setting of lens bag instability. Recently, a double-flanged polypropylene technique to fixate the intraocular lens in the sclera has been described. A common concern in using any flanged scleral fixation technique is the risk of infection and endophthalmitis secondary to exposed fixation material, which can erode through the conjunctiva. In this report, a case of an exposed polypropylene flange presenting 1 month postoperatively in a 70-year-old female patient who underwent a 4-flanged fixation procedure is described. The successful surgical management of this case is described as well as other operative considerations to reduce the risk of exposed fixation material and subsequent postoperative infection. The correct placement of scleral fixation material as well as regular clinical review is vital in reducing the risk of postoperative endophthalmitis.
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