Intrascleral secondary IOL fixation is a challenging procedure that requires proper handling of the IOL haptics.
Adequate tucking with appropriate manipulation of the haptics is essential to prevent any kink and slippage of the haptic in the eye. Surgeons have described different methods to prevent haptic slippage, and Beiko and Steinert previously detailed the application of iris hook plugs onto the haptics to prevent haptic slippage.
In this procedure, the hook plug is bisected and slid onto a 26-gauge needle. The haptic of the IOL is then threaded onto the barrel of the 26-gauge needle