In the event of an inadequate capsular bag support, an intraocular lens can be fixated by suturing one or both haptics to the iris. For suture fixation of intraocular lens to iris, a three-piece intraocular lens is selected . The intraocular lens power selected is the same as that for sulcus fixation. In the setting of a partial capsular support, as the situation usually is when this method of intraocular lens fixation is selected, one of the haptics is centered over the remnant anterior capsule and the other haptic is fixated to the posterior aspect of the iris. For suturing, a 10–0 polypropylene, on a long curved needle, is preferred . The prerequisites for selecting this technique are a normal iris architecture and thorough anterior vitrectomy to clear all vitreous in and around the pupil.
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