Modified Technique for Sutured Intraocular Lens.

Abstract

To describe a novel scleral fixation technique for the Akreos AO60 intraocular lens using Gore-Tex sutures buried within the sclera to minimize long-term exposure-related complications and improve cosmetic outcomes. Four eyes of four patients underwent scleral fixation of the Akreos AO60 lens using the modified ab externo approach. Outcomes included best-corrected visual acuity, intraocular lens centration, and suture-related complications. Preoperative best-corrected visual acuity ranged from 20/60 to 20/300. Postoperative best-corrected visual acuity ranged from 20/30 to 20/90 at final follow-up. All IOLs remained well-centered with no visible suture on external exam. One patient developed transient postoperative hypotony and a macula-off retinal detachment 1 month after lens fixation, which was successfully repaired with pars plana vitrectomy. No patients required additional surgery related to the intraocular lens or suture material. The described technique allows secure scleral fixation of the Akreos AO60 intraocular lens while minimizing the risk of Gore-Tex suture exposure. This modification may improve long-term outcomes and cosmesis.