Air-Assisted Implantation of Anterior Chamber Intraocular Lens

Agarwal, Tushar; Gupta, Sandeep; Sharma, Namrata; Khokhar, Sudarshan; Jhanji, Vishal

doi:10.1097/icl.0000000000000096

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Even expert surgeons may find it extremely difficult to perform IOL when capsular support is poor or lacking. Recently, multiple approaches have been used to cope with zonular dehiscence, and most of the techniques used for iris-claw or iris fixation suturing [ [2] , [3] , [4] , [5] , [6] ], anterior chamber IOL (ACIOL) implantation [ 7 ], scleral fixation of the intraocular lens (SFIOL) with suturing [ 8 ], sutureless intrascleral fixation of the IOL, and glued IOL [ 2 , [9] , [10] , [11] ]. However, haptic slippage and IOL dislocation are common challenges for surgeons.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of three-piece rigid scleral fixated intraocular lens implantation in subjects with deficient posterior capsule following complications in manual small incision cataract surgery

Rao,

Kumar,

Sinha

et al. 2023

Heliyon

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Section: Introductionmentioning

confidence: 99%

Outcomes of three-piece rigid scleral fixated intraocular lens implantation in subjects with deficient posterior capsule following complications in manual small incision cataract surgery

Rao,

Kumar,

Sinha

et al. 2023

Heliyon

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“…Several techniques have been employed over the years to deal with zonular dehiscence or dialysis. Among the most common of these techniques are iris fixation suturing or iris-claw [2][3][4][5][6], anterior chamber IOL implantation [7], scleral fixation IOL with suturing [8], and the most recent: sutureless intrascleral IOL fixation [9][10][11][12], and glued IOL.…”

Section: Introductionmentioning

confidence: 99%

Novel Sutureless Scleral Fixated IOL for Inadequate or Absent Capsular Support

Sidiropoulos

Siskou

Koronis

et al. 2022

Journal of Ophthalmology

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Purpose. To evaluate the clinical outcome and safety profile of a new sutureless scleral fixation (SSF) technique using a single-piece foldable acrylic Carlevale intraocular lens. Methods. In this case study, 27 eyes of 27 patients were implanted with an SSF single-piece IOL because of inadequate or absent capsular support. The hand-shake technique used during surgery was combined with the creation of scleral pockets in order to secure the IOL haptics. The BCVA was evaluated in the 1st and 6th month in every patient and in the 12th and 24th months, when possible. Also, we evaluated the improvement achieved in spherical equivalent values from baseline to the 6th month after the procedure. Intraoperative and postoperative complications were assessed. Results. The mean age was 69.1 ± 14.9 years, and the mean follow-up was 13.6 ± 4.8 months. Indications of scleral-fixated IOL included dislocated posterior chamber IOL (40.7%), dislocated anterior chamber IOL (11.1%), subluxated traumatic cataract (18.5%), subluxated nontraumatic cataract (18.5%), and aphakia (11.1%). Concurrent PPV was performed on eight of the eyes (32%). The mean preoperative logMAR BCVA increased from 0.85 ± 0.59 baseline to 0.44 ± 0.30 one month after surgery p < 0.01 and 0.36 ± 0.34 p < 0.003 six months after surgery. The baseline refractive status expressed in SE was 4.3 ± 6.4 D, and the postoperative status was −0.5 ± 0.99 D. Postoperative complications included vitreous hemorrhage (7.4%), hypotony (7.4%), transient IOP elevation (3.7%), and postoperative cystoid macular oedema (3.7%). The IOL was very well centered and stable in every case during the follow-up period. Conclusion. The use of the SSF technique with implantation of a single-piece foldable acrylic Carlevale IOL seems to be a safe and effective alternative method that provides good preliminary results in cases where capsular support is inadequate or absent. Long-term stability results would be required to evaluate the benefit of this novel surgical approach in order to compare it with other existing methods.

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Secondary IOLs: ACIOL vs Iris Sutured vs Scleral Fixated vs Phakic IOL in Aphakic Settings

Khan

Al-Mohtaseb

Kim

2018

Curr Ophthalmol Rep

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Air-Assisted Implantation of Anterior Chamber Intraocular Lens

Abstract: Air-assisted ACIOL implantation seems to be a safe and effective technique for implantation of ACIOL in cases with progressive lens subluxation.

Cited by 3 publications

References 8 publications

Outcomes of three-piece rigid scleral fixated intraocular lens implantation in subjects with deficient posterior capsule following complications in manual small incision cataract surgery

Outcomes of three-piece rigid scleral fixated intraocular lens implantation in subjects with deficient posterior capsule following complications in manual small incision cataract surgery

Novel Sutureless Scleral Fixated IOL for Inadequate or Absent Capsular Support

Secondary IOLs: ACIOL vs Iris Sutured vs Scleral Fixated vs Phakic IOL in Aphakic Settings

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