Flapless and Conjunctiva-Sparing Technique for Transscleral Fixation of Intraocular Lens to Correct Refractive Errors in Eyes without Adequate Capsular Support

Figure 1

Schematic figures of performing the modified cow-hitch knot to fixate the intraocular lens (IOL): (a) the suture-in-needle technique was performed to introduce the suture into the eye from the fixation site, and the loop was externalized by forceps. (b) The loop of suture was passed proximally towards the optic of the IOL, then behind the twirl, and moved distally to lasso the end of the haptic. (c) The suture was looped around the end of the haptic. (d) The modified cow-hitch was finally tightened.