Scleral-fixated intraocular lenses with Z-suture technique for lens subluxation associated with spherophakia

This article reports the case of a 38-year-old woman who presented with spherophakia and bilateral lens subluxation. Spherophakia patients have abnormally weak zonula fibers, whereby the lens can subluxate. The patient was treated by phacoemulsification combined with the placement of a scleral-fixated intraocular lens with the Z-suture technique. Scleral-fixated intraocular lenses are a treatment option for spherophakia. The knotless Z-suture technique has a low risk of suture erosion and scleral atrophy.