case_images: PMC5903096_01
case_images: Intraoperative photograph of setting the Prolene sutures for the wheel spokes technique. a Three straight needle-attached Prolene sutures were passed through the cornea in a limbus-to-limbus pattern resembling wheel spokes. b The 3 Prolene sutures support the floating donor graft (edge indicated by the arrows). Additionally, intraocular lens haptics were fixed to the sclera in the 2 o'clock-8 o'clock direction, posterior to the limbus, which could also serve as support.
case_images: cop-0009-0238-g01.jpg
case_images: PMC5903096_01_cop-0009-0238-g01.jpg
case_images: F1
case_images: To prevent the graft from dropping backwards during insertion or intraoperative manipulation, a 9-0 Prolene suture attached to a straight needle and designed for ciliary sulcus fixation (Mani, Tochigi, Japan) was radially passed through the cornea, limbus-to-limbus, in a pattern resembling wheel spokes in the 3 and 9 o'clock, 6 and 12 o'clock, and 4 and 10 o'clock directions (Fig. 1a). The pre-placed Prolene threads acted as a safety net to prevent the graft from falling into the vitreous cavity (Fig. 1b).