Trans-optic suture fixation of malpositioned intraocular lenses

Avner Belkin, Veronika Yehezkeli, Ehud I. Assia

Research output: Contribution to journalArticlepeer-review


Purpose: To report a technique for fixating posterior chamber intraocular lenses (PCIOLs) to the sclera by passing sutures through the lens material. Methods: Cases in which PCIOLs were fixated to the sclera using trans-optic sutures were included in this series. Intra and post-operative complications were recorded, and lens position was assessed using slit-lamp examination. Results: Fourteen cases were included in this series. In nine cases, the procedure was performed using 9–0 polypropylene in pseudophakic eyes to correct subluxation, centration, tilt or to replace a broken haptic. In five cases, this technique was used for primary PCIOL fixation using a flanged 6–0 polypropylene suture in aphakic eyes. In all cases, the lenses remained centered and stable at the end of follow-up, and no post-operative complications occurred. Conclusion: Trans-optic suturing is a safe and effective alternative method for fixation of IOLs in a variety of pseudophakic and aphakic clinical scenarios.

Original languageEnglish
JournalInternational Ophthalmology
StateAccepted/In press - 2022


  • IOL fixation
  • Lens subluxation
  • Special technique
  • Trans-optic sutures


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