Secondary IOL/ collar button capture with scleral suture by Steven G. Safran MD

[sgsafran]

This patient had a very myopic eye. He is quite young....in his 40's an very physically active. He is also s/p PPV/buckle with pars plana lensectomy and his zonules were very suspect. A sulcus based lens would have risk of decentration or psuedophakodinesis and just capturing the optic still, with the suspect zonules may or may not be stable. The combination of iris capture and scleral fixation guarentees secure stability and centration with very little risk, time or effort expenditure.

[pawaneyedoc]

what was the need for scleral fixation when the ant.cap.was intact? the iol could have rested nicely in the ciliary sulcus.