A novice technique of “Dumbbell suture” IOL flange procedure with penetrating keratoplasty

The purpose of this study is to describe the scleral fixation of intraocular lens (IOL) using the IOL flange technique combined with penetrating keratoplasty. The technique is a modification over the previous Yamane's transconjunctival double-needle flanged-haptic technique of intrascleral fixation of IOL as it involves the use of 5-0 prolene suture to create an IOL flange, and the IOL is placed in the sulcus. With this technique, there are less chances of haptic and vitreous drag as compared to the previously described techniques. This combined procedure is easy to learn, execute and economical with additional advantage of added IOL stability and can be of great benefit for patients with aphakia and no posterior capsular support.