This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration of the crystalline lens. Our guest surgeon does a great job of using an Ahmed capsular segment to bolster the weak area during surgery and then to fixate the capsular bag to the scleral wall. The belt loop technique which we have previously featured uses a 6-0 Prolene (polypropylene) suture threaded through the eyelet of the Ahmed segment and then a cautery is used to create a flange at the suture ends. Importantly, this flange is then buried within the sclera to prevent erosion through the conjunctiva. A beautiful result.
