The purpose of this case report is to describe a new technique to re-establish a scleral fixation of one luxated haptic, which previous suture ruptured, causing the fall of the intraocular lens into the vitreous cavity. Considering that the patient underwent two penetrant keratoplasty surgeries, there was a major concern to cause minimal intraocular manipulation and less surgical trauma. This technique consists in a closed eye procedure using the fixation lens, without exposing the haptics or using special surgical instruments. The endothelial cell loss after the surgery was similar to that observed after phacoemulsification in eyes with penetrating keratoplasty. The technique proved to be simple, safe, and therefore reproducible, less invasive than the previously published methods and promoted the patient's early visual rehabilitation.
Lens Subluxation; Suture technique; Corneal endothelial cell loss; Corneal transplantation; Case reports
