Figure 1

Modified double-flanged technique (A–C) and conventional sutured scleral fixation (D). (A) The foldable intraocular lens (IOL) threaded through the leading haptics was inserted using an injector through a 2.8 mm corneal incision. (B) For the externalization of the second thread, a 26-gauge needle, already threaded with 5–0 polypropylene, passed from bottom to top through the trailing haptic. (C) The IOL was fixated using four flanges positioned at 1, 4, 7, and 10 o'clock. (D) The IOL was fixated using the ab externo technique at the 2, and 8 o’clock positions.