Novel Apprach: Modified technique for Trocar-based sutureles
A Study was conducted to describe a modified technique of haptic externalization for trocar-based sutureless scleral fixation of intraocular lenses, in order to avoid working with forceps in the iris plane in a manner that may be unfamiliar to the vitreoretinal surgeon.

This prospective, interventional case series included 4 eyes of 4 patients with dislocated intraocular lens (IOL). The modified haptic externalization technique avoids the pitfalls of iris-plane maneuvers by intentionally dropping the IOL onto the retina and using the forceps to grasp the tips of the haptics prior to direct externalization from the same grab.

--4 patients underwent scleral fixation of IOL using modified haptic externalization technique.

--1 patient was lost to follow up after postoperative day 1. At the last follow up, all eyes demonstrated stability and good centration of scleral fixated IOL.

--All 3 patients achieved a best corrected visual acuity same or better compared to before the operation. 1 patient developed vitreous hemorrhage which later spontaneously resolved.

Finally a rapid, uncomplicated change is done with procedures known to vitreoretinal surgeons by the updated haptic externalization technology. The safety of a small group of patients has been proven.