Our guest surgeon uses the flange technique with 6-0 polypropylene suture to secure the IOL to the sclera in this case of absent capsular support. The modification is pre-placing the suture in one haptic of the IOL outside of the eye to help secure the IOL. The issue with all of these flange technique cases is the potential for the flange to erode through the conjunctiva and become exposed. For this reason it is advised to ensure that the flange is buried within the scleral tissue instead of just resting on top of the sclera.
