Application of modified pre-set double-wire intraocular lens suture fixation technique in aphakic eyes: A retrospective study

ObjectiveSurgery for aphakic eyes without capsular bag support is challenging and remains a key area of research for ophthalmologists. This retrospective study introduces a novel surgical method for suture fixation of intraocular lenses in such eyes.MethodsThe modified surgery was performed on eight eyes without a natural lens. The two haptic tabs of the three-piece intraocular lens were secured with two crystal sutures using a wireless junction-defined as a connection point where the loop or haptic is anchored to the eye wall without knots through techniques such as intrascleral pocket embedding, flanged end creation, or sutureless tuck-without creating a scleral flap.ResultsAll eight patients demonstrated improved postoperative visual acuity. The intraocular lenses were reliably fixed, properly centered, and well positioned. No serious complications occurred after the surgery.ConclusionsThis modified technique appears to offer procedural simplification and a favorable trend in postoperative visual acuity improvement. However, its long-term safety and efficacy require confirmation through larger, controlled studies.