Suture Fixation Technique for a Single-piece Foldable Closed-loop Intraocular Lens

Purpose: We describe a suture fixation technique for a single-piece foldable acrylic closed-loop intraocular lens (IOL) (C-flexTM, Rayner). Methods: In our experimental model analyzing the stability of acrylic haptics, we confirmed that the IOL could be in counterpoise without tilt using only a two-point fixation. This new surgical technique was performed in seven patients. Results: The unique haptic design allows easy and secure suture fixation. The clinical outcomes were encouraging. Conclusions: It is conceivable that better stabilization can be achieved by the broad arc of distal haptic-tissue contact, in addition to suture fixation, using our surgical technique with the C-flexTM IOL.