Scleral-sutured intraocular lenses: Single-surgeon technique for suture-preloaded intraocular lens insertion through a small-incision corneal wound

Abstract

For scleral intraocular lens (IOL) fixation, suture-loaded IOLs have traditionally been folded in half with a forceps and delivered intraocularly through 3.5 to 4.0mm corneal wounds. We describe a technique in which a suture-loaded scleral IOL is inserted through a small-incision corneal wound using 2 widely available ocular surgery tools; that is, a C or D cartridge and a Bowman nasolacrimal duct probe. This technique is easy to replicate and can be performed without an assisting surgeon.