Scleral fixation underneath an intact conjunctiva.

PURPOSE: To describe a technique for the fixation of intraocular lenses or capsular tension rings through the ciliary sulcus or pars plana.

METHODS

This alternative technique allows burial of the knot and the free suture ends within the sclera, without using a scleral flap or pocket or even a conjunctival opening.

RESULTS

No suture exposure has occurred with the use of the suture burial technique in approximately 25 eyes in 4 years. Additional benefits include less patient discomfort and an improved anatomic and cosmetic outcome starting from the first postoperative day.

CONCLUSIONS

This technique causes minimal tissue damage and scarring with almost no postoperative discomfort.