Glued Posterior Chamber Intraocular Lens With Intralamellar Scleral Tuck

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Implantation of a posterior chamber intraocular lens (IOL) in eyes with a deficient posterior capsule can be performed by a new technique. Two partial-thickness, limbal-based scleral flaps are created about 1.5 mm from the limbus under which sclerotomies are made. The IOL is introduced through a limbal wound with a McPherson forceps, and both the IOL haptics are externalized under the scleral flap with a 25-gauge forceps. The haptic ends are tucked into intralamellar scleral tunnels made with a 22-gauge needle. The scleral flaps and the conjunctiva are closed with fibrin glue.

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