Malik`s Technique of Single Loop Fixation of Posterior ChamberIntraocular Lens in Presence of Partial Capsular Support

摘要

Single loop fixation of posterior chamber intraocular lens in the presence of partial capsular support is usuallyperformed by creation of additional scleral flap or tunnel. This extra port may expose the suture holding the intraocularlens or the tucked-in lens haptics to the outside environment thereby increasing the risk of endophthalmitis. We describe atechnique of single loop fixation where the scleral tunnel is created adjacent to the site with the absent capsule, the leadinghaptic is placed on the capsular scaffold, the trailing haptic is tied to 9-0 polypropylene, and the suture is then secured tothe inner edge of the scleral lip with enough tension to center the optics and the wound is then closed. The suture knot getsburied within the scleral tunnel with no external communication and does not require a separate port. It is an easy, safe,fast and reproducible technique with a lens tilt of less than 2°.