Scleral fixation of a posterior chamber intraocular lens combined with penetrating keratoplasty in an aphakic patient with microcornea and microphthalmia

Aphakia after a cataract surgery could be attributed to many reasons, including lack of capsular support or insufficient surgical experience for scleral fixation. Iris-fixated intraocular lenses (IOLs), anterior chamber (angle supported) IOLs and scleral-fixated IOLs offer enhanced vision in patients who are aphakic after cataract surgery. These procedures are significantly more difficult in patients of microphthalmia and small eye axial length and/or diameter. However, implantation of a lens can improve visual acuity and subjective quality of vision. We present a surgical technique of scleral fixation of IOL applied in an aphakic patient with microphthalmia that may be used to improve vision in similar patients.