Fig. 1

Step-by-step illustration of the IOL fixation procedure. (A) A 23-gauge needle creates a puncture 2 mm posterior to the limbus into the posterior chamber. (B) A 10-0 polypropylene suture on a long-curved needle is introduced retrogradely through the puncture site. (C) The suture arms are passed through the IOL haptic eyelet and hooked out of the limbus cornea. (D, E) One suture arm is cut. (F, G) The cut suture arm is extracted through the eyelet using a hook. (H) The broken suture ends are tied together. (I) The IOL is adjusted, and the suture is tightened to secure it to the sclera