2948: four point IOL suture fixation
When capsular support is completely missing, securing a stable intraocular lens requires a strategy that keeps the optic planar and avoids tilt. Our guest surgeon from India demonstrates an elegant four-point suture fixation technique that provides exceptional long-term IOL stability and prevents lens tilt. Using a 9-0 prolene suture, this video highlights the critical steps of passing the needle precisely to secure the lens haptics. By using four distinct points of fixation, the risk of post-op decentration is drastically reduced compared to traditional two-point methods. This case shows that with a standardized, systematic approach, this complex secondary IOL procedure becomes highly reproducible. If you want to expand your anterior segment toolkit, this video offers fantastic, practical pointers that you can easily learn and incorporate into your own practice.
