Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens.

We describe a technique for easy externalization of the haptics for glued intrascleral fixation of a posterior chamber intraocular lens (IOL). The "handshake" technique is a modification of the glued-IOL procedure in which the IOL haptic is bimanually transferred from one glued IOL forceps to another under direct visualization in the pupillary plane. The modification provides better intraocular maneuverability throughout the surgery and extends applicability of the technique to challenging cases that require haptic manipulation, such as IOL drop and haptic slippage. It also provides the intraoperative advantage of a well-formed globe throughout the surgery.