Four flange fixation – Modern intrascleral intraocular lens fixation technique

Colby Hart, Bryan Matthews

Meeting:  2022 RANZCO


Date:      -

Session Title: CATARACT

Session Time:      -

Fixation of intraocular lenses following loss of capsular support pose a myriad of challenges to the ophthalmolo- gist. We present a series of cases showing intrascleral intra- ocular lens fixation using the four-flanged Akreos Advanced Optics lens. This video displays the technique of loading the lens with 6.0 prolene sutures prior to insertion, scleral tunnelling with a 30G TSK needle and fixation with low temperature cautery. This unique technique is a modification of the Canabrava method of fixation, using a smaller wound than has previously been described.