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When the natural lens capsule is missing or damaged (after trauma, complicated cataract surgery, or congenital absence), a standard IOL has nothing to anchor to. Secondary IOL techniques — scleral fixation, glued IOL, iris-claw — restore good vision in eyes that would otherwise need contact lenses or be left aphakic.
Why choose us
The modern Yamane scleral fixation technique gives the best long-term stability with no sutures to break. Few centers in the region offer it routinely.
Most secondary IOL cases also need cornea or iris work. Dr. Shaarawy handles all three structures in a single combined OR visit.
Iris-claw is fast but needs intact iris. Scleral fixation is stable but more demanding. We pick the technique based on your specific anatomy, not a one-size approach.
Original IOLs from Alcon, Carl Zeiss, J&J, and specialty Carlevale lenses for scleral fixation. Full chain-of-custody documentation.
Procedures & pricing
Final cost is set after clinical examination. Local-currency equivalents available on request. Insurance reports issued for international patients.
| Procedure | Best for | From (USD) |
|---|---|---|
| Iris-claw IOL (anterior) | Quick technique, simpler anatomy | $1,800 – $2,500 |
| Iris-fixated IOL (sutured) | More stable, demanding technique | $2,500 – $3,500 |
| Scleral-fixated IOL (Yamane) | Modern flanged-haptic technique, no sutures | $2,800 – $4,000 |
| Glued IOL | Sutureless scleral fixation with fibrin glue | $2,500 – $3,800 |
| Combined with cornea + iris repair | Trauma cases — single session | $5,000 – $8,000 |
Common questions
Secondary IOL planning needs anterior segment OCT, B-scan ultrasound, and the surgical history of the affected eye. Send what you have — we'll respond within 24 hours with the recommended technique and the all-in cost.