Scleral Lens and Suture Erosion in Scleral-Sutured Posterior Chamber Intraocular Lens

This case series reports two cases of scleral lens (SL)-associated suture erosion of polytetrafluoroethylene CV-8 (Gore-Tex, Newark, DE) in scleral-sutured CZ70BD (Alcon, Fort Worth, TX) posterior chamber intraocular lens (SS-PCIOL). Suture erosion after SS-PCIOL has been reported in two of the patients who were fitted with SL for visual acuity improvement. Erosion was corrected in both cases with suture repositioning and corneal patch graft, with one patient requiring the exchange of the intraocular lens. The other patient was able to transition to an SL of a different size parameter. Scleral lens fitting should consider the position of haptic placement in relation to the suture site and be monitored for suture erosion postoperatively. A scleral flap or corneal tissue patch graft may be needed for patients who have scleral thinning from prior surgery.