Reverse 4-flanged technique for intrascleral fixation of a foldable hydrophobic IOL in the absence of capsular support through a 2.2 mm corneal incision.

The reverse 4-flanged technique maintains the advantages of the original 4-flanged technique in terms of IOL stability while reducing the incision size and surgical manoeuvres performed inside the eye. This modification promises to be a reliable, safe and relatively simple technique to correct aphakia in the absence of capsular support.