This young patient has Marfan Syndrome and previously underwent pars plana vitrectomy and lensectomy for a dislocated crystalline lens with an excellent outcome. However from time to time the patient experienced anterior prolapse of the optic with iris capture. This was resolved by putting the patient in a supine position and dilating the eye, however a more definitive solution is desired. Our innovative guest surgeon does a hashtag suture using 10-0 polyprolyene to provide a barrier to keep the IOL optic in position. What do you think?
