Four-point suture scleral fixation of a hydrophilic acrylic IOL in aphakic eyes with insufficient capsule support

PurposeTo determine whether suture fixation of a hydrophilic acrylic intraocular lens (IOL) with 4 hollow haptics through a small incision can be an alternative to 2-point fixation of sutured IOLs.SettingPrivate surgical center, Dallas, Texas, USA.MethodsFour-point suture fixation of an Akreos IOL was performed in 1 eye each of 9 patients with aphakia and insufficient capsule support.ResultsPostoperatively, the corrected distance visual acuity and spherical equivalent were improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). Cases of vitreous hemorrhage, ocular hypertension, IOL decentration, and peripheral choroidal effusions resolved without treatment or with intervention in the early postoperative period.ConclusionIn this preliminary study, suturing a hydrophilic acrylic IOL with 4 hollow haptics to the sclera had a low risk for CME and pigmentary dispersion glaucoma.Financial DisclosureNeither author has a financial or proprietary interest in any material or method mentioned.