Transscleral fixation of a foldable posterior chamber intraocular lens

We describe an approach to transscleral fixation of a foldable posterior chamber intraocular lens (PC IOL) using a 25-gauge pars plana vitrectomy. The technique was used in 80 consecutive eyes, and the results were analyzed for corrected distance visual acuity and safety indicators. Postoperative complications included retinal detachment in 2 eyes (2.5%), Irvine-Gass cystoid macular edema in 3 eyes (3.75%), persistent postoperative corneal edema in 1 eye (1.25%), hyphema in 2 eyes (2.5%), and postoperative vitreous hemorrhage with spontaneous clearing in 1 eye (1.25%). The modified external approach with a 25-gauge pars plana vitrectomy had relatively few complications, improved visual acuity in patients requiring a transsclerally sutured PC IOL, and offered several advantages over traditional anterior chamber and conventional techniques of scleral suturing.