Suture refixation and recentration of a subluxated capsular tension ring-capsular bag-intraocular lens complex.

We describe a 3-point ab externo technique to refixate and recenter a subluxated Cionni capsular tension ring (CTR )– intraocular lens (IOL)–capsular bag complex to the sclera. A 9-0 polypropylene suture on a curved needle is looped through the eyelet of the CTR and back through a Hoffman scleral tunnel. Two other sutures passed in a similar fashion through the fibrotic continuous curvilinear capsulorhexis (CCC) edge are used to complete a tripod fixation, which centers and stabilizes the IOL. This surgical approach avoids the surgical trauma of removing and replacing a subluxated CTR–IOL–capsular bag complex, retains the optimal anatomical position, and ensures centration of the IOL. Financial Disclosure Neither author has a financial or proprietary interest in any material or method mentioned.