Flanged prolene intrascleral modified capsular tension ring fixation using the prethreaded needle technique

A novel technique is warranted for the scleral fixation of a modified capsular tension ring (m-CTR) with a threaded 30-gauge needle and 6-0 polypropylene suture flange. In this study, we present our retrospective analysis of 7 cases in which this technique was used. A threaded 30-gauge needle was inserted horizontally above the anterior lens capsule, forming the suture loop at the needle tip. The loop was externalized from the main incision, and a suture was made through the eyelet from above to create a suture flange. The m-CTR was placed in the lens capsule, and the suture outside the sclera was pulled fully. Another suture flange was made and buried in the sclera. In all cases, the capsular bag was centered and was stable postoperatively. Only 1 patient showed flange erosion as a postoperative complication. Overall, our newly developed technique is simple, easy, and minimally invasive.