A novel intraocular lens designed for sutureless scleral fixation: surgical series

Rossi, Tommaso; Iannetta, Danilo; Romano, Vito; Carlevale, Carlo; Forlini, Matteo; Telani, Serena; Imburgia, Aurelio; Mularoni, Alessandro; Fontana, Luigi; Ripandelli, Guido

doi:10.1007/s00417-020-04789-3

Cited by 33 publications

(62 citation statements)

References 22 publications

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“…These are all superior to 3-piece IOL sutureless intrascleral fixation technique. Rossi et al [ 36 ] reported a 1.3% incidence of T-shaped Carlevale lens harpoon ruptured when grasped to externalize it in their study of 78 patients. The T-shaped Carlevale lens harpoon was much more diminutive than a 3-piece IOL haptic.…”

Section: Discussionmentioning

confidence: 99%

“…Shin et al [ 16 ] performed a peripheral iridotomy by a vitrectomy cutter to avoid iris capture of the IOL, but pupillary capture remains the highest rate of postoperative complication in their study. There was no pupillary capture occurred in studies of Carlevale lens [ 19 , 36 , 38 , 39 ]. There is a 5° anterior angulation relative to the optic plate of Carlevale lens haptics to ensure enough space between iris and IOL, which may minimize iris chafing and pupillary capture.…”

Section: Discussionmentioning

confidence: 99%

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Sutureless Intrascleral Posterior Chamber Intraocular Lens Fixation: Analysis of Clinical Outcomes and Postoperative Complications

Liu

Fan

et al. 2021

Journal of Ophthalmology

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Purpose. To report a technique for performing sutureless intrascleral fixation of a posterior chamber intraocular lens (PC-IOL) and analyzing the clinical outcomes and postoperative complications. Study Design. 68 eyes of 66 patients who received the technique were studied retrospectively. Methods. The best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), IOL tilt and decentration, corneal topography (K1 and K2), and postoperative complications were determined at 3 months. Results. The mean preoperative BCVA was 1.63 ± 1.24 logMAR units, and the mean postoperative BCVA was 0.74 ± 0.59 logMAR units at 3 months ( P < 0.05 ). The mean preoperative IOP was 21.9 ± 12.6 mmHg, and the mean postoperative IOP was 16.9 ± 4.5 mmHg at 3 months ( P = 0.001). The mean preoperative corneal topography (K1 and K2) was K1 = 42.14 ± 1.91 and K2 = 43.54 ± 1.51; the mean postoperative corneal topography (K1 and K2) was K1 = 43.03 ± 2.18 and K2 = 43.40 ± 1.71 at 3 months ( P = 0.678 and 0.468, respectively). The mean preoperative spherical equivalent was +11.00 ± 13.19 diopters (D), and the mean postoperative spherical equivalent was +0.06 ± 0.86 D ( P < 0.005 ). The mean IOL tilt was 2.4 ± 1.7°, and the mean decentration was 0.35 ± 0.21 mm. The mean ACD was 4.31 ± 0.29 mm. Conclusions. The 27-gauge sutureless intrascleral PC-IOL implantation technique minimizes intraoperative injury, simplifies procedure, and provides good PC-IOL fixation with few postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sutureless Intrascleral Posterior Chamber Intraocular Lens Fixation: Analysis of Clinical Outcomes and Postoperative Complications

Liu

Fan

et al. 2021

Journal of Ophthalmology

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“…In addition, guided by the choice of method, the goal was to minimize possible intra- and post-surgical complications. Rossi et al suggest good results of treatment with transscleral sutureless intraocular lenses with a few complications [ 9 ]. In our experiments, this lens is less traumatizing for eye tissues.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Intraocular Lens Dislocation in a Patient with Familial Ectopia Lentis

Wilczyński

Niewiem

Leszczyński

et al. 2021

IJERPH

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A 36-year-old patient presented to the hospital with recurrent dislocation of the intraocular lens (IOL). The patient with the diagnosis of familial ectopia lentis was first operated on for crystalline lens subluxation in the left eye in 2007 and in the right eye in 2009. In both eyes, lens extraction with anterior vitrectomy and transscleral fixation of a rigid IOL was performed. In 2011, the IOL in the right eye luxated into the vitreous cavity due to ocular trauma. The patient underwent a pars plana vitrectomy with the IOL resuturation to the sclera. Seven years later, a spontaneous vision loss in the right eye was caused by a retinal detachment. The pars plana vitrectomy with silicone oil tamponade and a consequential oil removal three months later were performed in 2018. The follow-up examination revealed recurrent IOL dislocation in the same eye. Due to a history of previous suture-related complications a decision was made to remove the subluxated rigid polymethyl-methacrylate (PMMA) IOL and fixate to sclera a sutureless SOLEKO FIL SSF Carlevale lens. The purpose of this report is to present a single case of a 36-year-old patient who was presented to the hospital with recurrent dislocation of the intraocular lens. In a three-month follow-up period, a good anatomical and functional outcome was finally obtained with transscleral sutureless intraocular lens. This lens is an option worth considering especially in a young patient with a long life expectancy and physically active.

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“…Glue has not ensured an efficient stability for fixation [48]. The use of suspension models with haptics plug-in might represent a marked improvement, with constant results over time [49]. Nevertheless, its positioning and follow-up must be supported by the use of an efficient intra-and postoperative AS-OCT evaluation.…”

Section: Sutureless Scleral-fixated Intraocular Lens Implantation (Sfmentioning

confidence: 99%

Diagnostic imaging versus surgical procedure: intra- and postoperative OCT evaluation of sutureless scleral-fixated intraocular lens implantation and possible related complications

Nuzzi

Rossi

2021

Graefes Arch Clin Exp Ophthalmol

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Because the popularity of corneal refractive surgery has been increasing throughout the last 25 years, many authors have thought to apply optical coherence tomography (OCT) to the anterior segment (AS-OCT); by revising the instrumentation needed and slightly improve the technique, it has become an element of vital importance in order to ensure a complete and exhaustive pre- and postsurgical evaluation. Many applications of OCT have been recently developed—mostly in cataract surgery due to the increasing numbers—such as chamber biometry, which is used in a preoperative stage to determine the details of IOL implantation, and lens evaluation. The aim of this review is to assess the applications of anterior segment OCT in dislocated IOL and/or capsular bag exchange surgery with scleral sutureless fixated intraocular lens and monitoring of possible postoperative complications.

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A novel intraocular lens designed for sutureless scleral fixation: surgical series

Cited by 33 publications

References 22 publications

Sutureless Intrascleral Posterior Chamber Intraocular Lens Fixation: Analysis of Clinical Outcomes and Postoperative Complications

Sutureless Intrascleral Posterior Chamber Intraocular Lens Fixation: Analysis of Clinical Outcomes and Postoperative Complications

Recurrent Intraocular Lens Dislocation in a Patient with Familial Ectopia Lentis

Diagnostic imaging versus surgical procedure: intra- and postoperative OCT evaluation of sutureless scleral-fixated intraocular lens implantation and possible related complications

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