Comparison of surgical outcomes of Carlevale sutureless scleral fixation and Artisan Aphakia intraocular lens

Van Severen, V.; Maaijwee, K. J. M.; Pennekamp, C. W. A.; Feenstra, H. M. A.; van Dijk, E. H. C.; Lindstedt, E. W.; Bamonte, G.

doi:10.1111/aos.15795

Cited by 2 publications

(11 citation statements)

References 17 publications

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“…Two scleral flaps were sculpted by the surgeon with dimensions ranging between 3 × 3 and 4 × 4 mm [ 1 , 21 , 24 , 25 , 26 , 27 , 28 , 29 ]. With regards to sclerotomies, most of the studies preferred 25-gauge (G) sclerotomies at 1.5 to 2 mm from the limbus [ 1 , 9 , 21 , 23 , 25 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…A crucial point of contention was whether to proceed with a pars plana vitrectomy (PPV). Based on the published evidence, it is suggested to perform a PPV every time [ 1 , 20 , 21 , 23 , 25 , 26 , 29 , 31 , 35 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Finally, the conjunctiva can be closed with Vicryl 7.0 or 8.0 [ 1 , 8 , 9 , 22 , 25 , 27 , 29 , 37 ], but some authors preferred to avoid conjunctival sutures completely [ 23 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the authors reported intraoperative complications related to the IOL, including damage to the optics or the anchors or the rupture of one T-shaped IOL harpoon during the injection or the scleral passage [ 1 , 9 , 21 , 29 , 30 , 38 ]. Another one, in terms of recurrence, was a mild vitreous hemorrhage [ 1 , 20 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Design of Carlevale lens; green arrows indicate the specular incisions to identify the correct IOL position. Image sourced from the manufacturer's website.Two scleral flaps were sculpted by the surgeon with dimensions ranging between 3 × 3 and 4 × 4 mm[1,21,[24][25][26][27][28][29]. With regards to sclerotomies, most of the studies preferred 25-gauge (G) sclerotomies at 1.5 to 2 mm from the limbus[1,9,21,23,25,27].The other surgical option that emerged from literature was the creation of two scleral pockets for each side[28]; in this circumstance, almost all the authors were in agreement and preferred 23 G sclerotomies[8,9,21,22,30,31].…”

mentioning

confidence: 99%

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Current Evidence for a New Surgical Technique for Scleral Fixation: The Implantation of a Carlevale Lens, a Systematic Review

Barbieri,

Maglionico,

Casini

et al. 2024

JCM

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Background: The Carlevale lens (FIL SSF, Soleko IOL Division, Italy) is a new lens for suture-less scleral fixation. This paper aimed to systematically review articles on this lens, the surgical techniques used for its implantation, complications and outcomes. Methods: This systematic review was performed following the PRISMA guidelines. The search string used was “Carlevale” AND “scleral fixation” from inception until March 2024. For completeness, either case-control studies, case reports or case series written in English were included. The authors used the Newcastle–Ottawa scale for the case-control studies and the JBI Critical Appraisal Checklist for case reports and case series. Results: Twenty-nine articles were included. Scleral fixation with Carlevale lens can be performed by creating scleral flaps or, alternatively, by using scleral pockets. The two sclerotomies must be diametrically opposed, and are preferably created by 25-gauge trocars. A pars plana vitrectomy should be performed every time, and the design of the lens should be suitable for self-anchoring to the sclera; the most accredited strategy to achieve this is to avoid scleral sutures. There were only a few intraoperative and postoperative complications reported; vitreous hemorrhages were the most frequent intraoperative events, while the most relevant postoperative complications were vitreous hemorrhages, cystoid macular oedema and transient variations in the intraocular pressure. Excellent results have been obtained in terms of BCVA, IOL centration and stability, mean intraocular pressure, postoperative spherical equivalent, separation between anterior and posterior chamber and the distance of the IOL from anterior chamber structures. Conclusions: The foldable hydrophilic design of the Carlevale lens has shown good effectiveness, IOL stability and few intra and post-operative complications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Finally, the conjunctiva can be closed with Vicryl 7.0 or 8.0 [ 1 , 8 , 9 , 22 , 25 , 27 , 29 , 37 ], but some authors preferred to avoid conjunctival sutures completely [ 23 , 35 ].…”

Section: Resultsmentioning

confidence: 99%