In recent years, several IOL fixation techniques have been proposed. Nowadays the tendency is to evolve from time-consuming techniques that use knots and big incisions to easier, faster and sutureless techniques.
In the 1980s, Malbran and colleagues were the first to propose an IOL scleral fixation technique. They used a 10-0 polypropylene suture to fixate the IOL haptics to the sclera at 3 and 9 o’clock, 2 mm posterior to the limbus. In 1991, Lewis proposed the classical scleral fixation technique with scleral flaps, which guided and inspired more recent techniques. This technique is
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