Minimally invasive four-point scleral refixation for dislocated 4-haptic IOL by horizontal mattress sutures and Hoffman pockets

This minimally invasive four-point scleral fixation technique offers a safe and effective refixation strategy for dislocated four-haptic IOLs. The horizontal mattress suture configuration combined with Hoffman pockets facilitates durable centration, avoids conjunctival dissection, and could be adopted into routine surgical practice.