Scharioth and Pavlidis1 popularized a sutureless technique for intrascleral fixation of an intraocular lens (IOL) in 2007 by placing haptics in scleral tunnels, thus avoiding the need for scleral suturing of haptics. Their technique is believed to provide a more stable posterior chamber placement without pseudo-phakodonesis of the IOL and avoids issues associated with polypropylene suture degradation and/or exposure. Maggi and Maggi2 proposed a similar technique, but the use of a complex IOL design limited its applicability and popularity. Techniques for secondary IOL and IOL rescue using intrascleral haptic fixation have evolved. Agarwal et al3 modified the technique of Scharioth and Pavlidis with the addition of fibrin glue, partial thickness scleral flaps, and the handshake technique.4 In 2012, Prenner et al5 published a modification of this technique that eliminated the scleral flaps and used larger sclerotomies for haptic externalization. More recently, Prasad introduced a modification where the haptics were externalized and fixated to the sclera using a transconjunctival approach without conjunctival dissection.
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