FIL-SSF Carlevale intraocular lens for sutureless scleral fixation: 7 recommendations from a serie of 72 cases. MICA study (Multicentric Study of the Carlevale IOL)

Rouhette, H; Meyer, Frank; Pommier, S.; Benzerroug, M.; Denion, É.; Guigou, S.; Lorenzi, Umberto; Mazit, C.; Mérité, Pierre-Yves; Rebollo, Olivier

doi:10.1016/j.jfo.2021.05.002

Cited by 14 publications

(56 citation statements)

References 21 publications

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“…The mean change in BCVA, which was reported in 13 studies with a total of 550 eyes, is presented in Figure 2A. 7,8,10–17,20,21,23 The pooled results showed a significant improvement in BCVA in patients who underwent SSF with Carlevale IOL (WMD = 0.38, 95% CI: 0.30–0.46, P <0.001; heterogeneity [I 2 ] =52.02%). Funnel plot and Egger regression revealed no publication bias with an Egger coefficient of −0.88 (95% CI: −2.55–0.77, Prob > |t| = 0.25) (see Figures 1 and 2 , Supplemental Digital Content 3 , http://links.lww.com/IAE/C19).…”

Section: Resultsmentioning

confidence: 99%

“…We assessed three retrospective observational comparative studies 9,18,22 and 14 case series studies. 7,8,10–17,19–21,23 Among the observational comparative studies, two studies 9,22 compared two different SSF techniques using either the three-piece IOL or the iris claw lens and the Carlevale IOL and only one compared the surgical outcomes of two different scleral fixation techniques using only the Carlevale IOL. 18…”

Section: Resultsmentioning

confidence: 99%

“…A total of three studies evaluated the difference between the measured and predicted postoperative refractive spherical equivalent for the IOL power implanted, defined as prediction error, 19,20,23 whereas the induced postoperative astigmatism was analyzed in five studies. 9,11,13,15,22…”

Section: Resultsmentioning

confidence: 99%

“…The IOL is designed to be suspended in the posterior chamber through two transscleral plugs, and its implantation results in excellent lens stability. 7–23…”

mentioning

confidence: 99%

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Scleral Fixation of Carlevale Intraocular Lens

Ripa

Angunawela

Motta

2023

Retina

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Purpose: The mean change in best-corrected visual acuity (BCVA), intraocular pressure (IOP), and endothelial cell counts (ECD) after intraocular lens (IOL) implantation and the incidence rate of postoperative complications were estimated by systematic review and meta-analysis to assess the surgical and refractive outcomes of the sutureless scleral fixation (SSF) Carlevale IOL. Methods: A literature search was conducted using PubMed, Embase, and Scopus. The weighted mean difference (WMD) was used to present the mean change in BCVA, IOP, and ECD after IOL implantation, whereas a proportional meta-analysis was used to estimate the pooled incidence rate of postoperative complications. Results: In the meta-analysis of thirteen studies involving 550 eyes, the pooled WMD of the mean change in BCVA showed a significant improvement in BCVA in patients who underwent Carlevale IOL implantation (WMD = 0.38, 95% CI: 0.30 to 0.46, p <0.001; heterogeneity (I2) =52.02%). The subgroup analyses indicated that the mean change in BCVA was not significantly higher according to the last follow-up visit, with no statistically significant subgroup effect. (p=0.21). (WMD up to six months: 0.34, 95% CI: 0.23 to 0.45, I2 = 58.32%, WMD up to twenty-four months: 0.42, 95% CI: 0.34 to 0.51, I2 = 38.08 %). In the meta-analysis of sixteen studies involving 608 eyes, the pooled incidence rate of postoperative complications was equal to 0.22 (CI: 0.13–0.32, I2 = 84.87, p ≤ 0.001). Conclusions: Carlevale IOL implantation represents a reliable method of restoring vision in eyes with missing capsular or zonular support.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The IOL is designed to be suspended in the posterior chamber through two transscleral plugs, and its implantation results in excellent lens stability. 7–23…”

mentioning

confidence: 99%

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Scleral Fixation of Carlevale Intraocular Lens

Ripa

Angunawela

Motta

2023

Retina

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“…Thanks to its design, the Carlevale FIL-SSF IOL should be fully centered and stable, in an "anatomical" position with no contact with the iris as reported in few studies [28,29]. Based on this assumption, some researches focused on IOL positioning and tilting.…”

Section: Tiltingmentioning

confidence: 99%

Sutureless scleral fixation Carlevale IOL: a review on the novel designed lens

et al. 2022

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Background: Complicated cataract surgery is the main cause of secondary lens implantation surgery. Several approaches have been introduced to face those circumstances. As it concerns scleral-fixated IOLs for the posterior chamber, many types of IOL can be implanted. The aim of article is to review the single piece sutureless scleral fixation Carlevale lens; Methods: Narrative review; Results: Several works described as safe the IOL implantation utilizing the handshake approach, without tactile manipulation, which allows for self-centration and lens firm fixation in uncomplicated surgery. This allows to reduce high order aberration such as astigmatism and coma, with a very good postoperative BCVA Conclusions: Carlevale lens is one of the best option to manage insufficient capsular support.

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Out-of-the-Bag Implantation IOL Power

Aramberri

2024

Intraocular Lens Calculations

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In the absence of a safe capsular support, the IOL will be implanted out-of-the-bag. There are different anatomical locations where a posterior chamber IOL can be implanted: sutured to iris, ciliary sulcus supported, or fixated to the sclera with or without sutures. All of them entail a change in the IOL effective power that has to be calculated by the surgeon to avoid a final refractive error. In this chapter, several sources of error are extensively analyzed and the most precise methods to correct them are clearly exposed. Moreover, there are various IOL models designed specifically for out-of-the bag implantation: anterior chamber, iris claw, and scleral fixated. Each of them, with their own clinical and optical features must be mastered in order to achieve an accurate power calculation.

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FIL-SSF Carlevale intraocular lens for sutureless scleral fixation: 7 recommendations from a serie of 72 cases. MICA study (Multicentric Study of the Carlevale IOL)

Cited by 14 publications

References 21 publications

Scleral Fixation of Carlevale Intraocular Lens

Scleral Fixation of Carlevale Intraocular Lens

Sutureless scleral fixation Carlevale IOL: a review on the novel designed lens

Out-of-the-Bag Implantation IOL Power

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