A New Small-Incision Technique for Injector Implantation of Transsclerally Sutured Foldable Lenses

Abstract

A new, minimally invasive technique for clear cornea implantation of one-piece acrylic posterior chamber lenses for transscleral suture fixation in aphakic eyes without capsular support is described. Based on the techniques of modern small-incision cataract surgery, implantation was performed through a self-sealing, 2.75-mm temporal clear cornea incision using the injector technique. This was possible by modifying the insertion of the lens into the cartridge and introducing a new suturing technique of the lens. Suturing of the leading haptic end was performed while the lens was still securely stored inside the cartridge. The trailing haptic was tied after implantation. By using a self-sealing tunnel incision and injector technique, significant fluid egress and consecutive transient hypotony may be minimized throughout the procedure and early visual rehabilitation achieved.