Closed globe refixation of the IOL-bag complex with the ab-externo 8-exit-4-point fixation technique.

Abstract

Intraocular lens (IOL) dislocation is not an uncommon complication and often requires surgical intervention, depending on the status of capsular bag support. Conventionally, posterior dislocation of a foldable IOL or the IOL-bag complex warrants their removal as foldable IOLs are not ideal for sulcus placement. The technique presented here describes using quadrilateral sutures to refix looped haptic IOLs at the ciliary sulcus with or without a bag complex. The haptic loops act as eyelets, and 4-side suture placement helps in good centration, avoiding lens tilt. The closed globe maneuver causes minimal ocular trauma and helps in faster postoperative recovery.