Sutured intraocular lens placement in aphakic post-vitrectomy eyes via small-incision surgery

A technique for placing a sutured intraocular lens (IOL) in post-vitrectomy eyes is described. A foldable acrylic IOL (Akreos) is sutured to the sclera with 4-point fixation via a standard cataract incision, avoiding the large incision needed for nonfoldable IOLs, which would represent extra risk in eyes with no internal support. Postoperative results in 2 cases were significant for quick recovery and minimal complications.