Scleral fixation of a single-piece foldable acrylic IOL through a 1.80 mm corneal incision

Veritti, Daniele; Grego, Lisa; Samassa, Francesco; Sarao, Valentina; Lanzetta, Paolo

doi:10.1097/j.jcrs.0000000000000138

Cited by 13 publications

(12 citation statements)

References 27 publications

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“…Transscleral suture fixation of the MX60 IOL through its eyelets has been previously described to be a safe and effective technique in eyes without adequate capsular support. 6 , 7 Among its advantages, this technique uses a readily available, aberration-neutral, foldable hydrophobic acrylic IOL that can be implanted without scleral flaps. Its hydrophobicity renders it much less likely to opacify than its hydrophilic predecessor Akreos (AO60, Bausch and Lomb, Inc.), which is an important consideration, especially for corneal transplant surgeons, as these complex eyes may require combined or future retinal or endothelial keratoplasty procedures where intraocular gases may be used.…”

Section: Discussionmentioning

confidence: 99%

“…The concept of transscleral Gore-Tex fixation of the MX60 IOL (Bausch & Lomb, Rochester, New York) has previously been described in the literature as an effective approach for aphakia. 5,6 With this technique, the haptics are trimmed and Gore-Tex suture is threaded through eyelets at the optic-haptic junction and externalized to achieve secure four-point transscleral fixation with good refractive outcomes. 7 We postulated that this existing SFIOL technique could be modified using a sutured eyelet-toric (SET) IOL to treat aphakia while concurrently reducing postoperative refractive cylinder.…”

Section: Introductionmentioning

confidence: 99%

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Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Ward¹,

Hou

Murphy

et al. 2021

OPTH

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Purpose To describe surgical technique and report short-term visual outcomes after suture-fixation of a single-piece eyelet-toric (SET) intraocular lens (IOL) for treatment of concurrent aphakia and astigmatism. Design Retrospective, noncomparative, and non-consecutive case series. Methods This was a case series of eleven eyes who underwent successful SET. Eligible eyes had loss of capsular support or aphakia with a minimum of symmetric corneal astigmatism 1.75 diopters (D). Outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), magnitude of residual refractive cylinder, and complications resulting from the SET procedure. Results Preoperative UDVA and CDVA in logMAR scale were 1.46 and 0.45, respectively. Mean preoperative keratometric and refractive cylinder were 3.67 D and 2.52D, respectively. Postoperative UDVA and CDVA were 0.51 and 0.27, respectively, three months after surgery (POM3). Residual refractive cylinder at POM3 was 0.93 D. Conclusion SET technique reduced refractive cylinder and improved UDVA and CDVA. SET may be adapted by surgeons using a readily available IOL and familiar scleral-fixation maneuvers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Ward¹,

Hou

Murphy

et al. 2021

OPTH

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“…No need to use a special lens design or 3 piece lens. 9 The 6/0 prolene is a nonabsorbable suture that has a better longevity compared to the 10/0 prolene suture used in sutured scleral-fixated IOLs. Studies have been published using 6/0 prolene suture for intrascleral fixation of Ahmed segment and Cionni CTR.…”

Section: Discussionmentioning

confidence: 99%

<p>Scleral Fixation of Single-Piece Foldable IOL Using Double-Flanged Technique</p>

Samir¹,

El-Hag²,

Elsayed³

et al. 2020

OPTH

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Purpose: To describe the efficiency and visual results of a new method of transconjunctival intrascleral fixation of single-piece foldable IOL using double-flanged 6/0 prolene suture. Materials and Methods: Seventeen aphakic eyes of 17 patients without adequate capsular support were involved in this study. Lens was prepared by passing the 6/0 prolene suture in a track in the haptic of single-piece foldable IOL created by 31 g needle. The 6/0 prolene suture was retrieved through a 30 g needle transconjunctivally to outside the globe; then, IOL was implanted and a terminal bulb was created at the outer end of the prolene suture. Results: All cases were aphakic after complicated phacoemulsification. In 10 cases hydrophilic IOLs were used and in 7 cases hydrophobic IOLs were used. There is clear statistically significant difference between pre-UCVA and post-UCVA. Complications included suture slippage in 2 cases and prolene bulb exposure in one case. There was no significant difference in endothelial cell count and IOP before and after 3 months. Conclusion: Transconjunctival intrascleral fixation of foldable single-piece IOLs is a safe efficient method for correcting aphakia.

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“…SFIOL implantation helps to overcome these drawbacks by positioning the IOL in a further posterior plane. 3,6,7 SFIOL implantation techniques involve sutured SFIOLs and sutureless SFIOLs. Sutured SFIOLs may be associated with suture erosion/breakage, exposure of suture knot and so on in the postoperative period.…”

Section: Introductionmentioning

confidence: 99%

Complications and visual outcome of sutureless, scleral fixated intraocular lens in cases with traumatic aphakia

et al. 2021

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Purpose: The aim of this study is to describe the complications and outcome of sutureless scleral fixated intraocular lens (SFIOL) implantation in traumatic aphakia. Setting: The study was conducted in a tertiary eye care centre in South India. Design: The study involved a retrospective data analysis. Methods: Medical records of cases with traumatic aphakia who had undergone sutureless SFIOL implantation in the last 2 years were included in the study. Data on intraoperative and postoperative complications and visual outcome were collected and analysed. Results: In total, 45 cases were recruited. Mean logarithm of the minimum angle of resolution (logMAR) best-corrected visual acuity (BCVA) improved from preoperative 1.64 ± 0.45 to 0.63 ± 0.36 at last follow-up visit, and the difference was statistically significant ( p < 0.0001). Final logMAR BCVA was worse than one in three patients who had associated posterior segment pathology. There was no incidence of intraoperative haptic rebound into the vitreous cavity or intraocular lens (IOL) drop. Four cases had hypotony, two cases had choroidal detachment, four cases had raised intraocular pressure (IOP), eight cases had transient corneal oedema and six patients had mild dispersed vitreous haemorrhage during immediate postoperative period. Six patients had postoperative cystoid macular oedema (CME). Two cases developed glaucoma. None of the patients had postoperative haptic exposure, retinal detachment (RD), iris capture of IOL or SFIOL dislocation till the last follow-up. Conclusion: Final visual outcome of sutureless SFIOL implantation in traumatic aphakia may be affected by concomitant posterior segment pathology. The immediate and late postoperative complications noted in our study were comparable with other similar studies. However, longer follow-up is needed to detect RD and angle recession glaucoma at the earliest and initiate therapy.

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Scleral fixation of a single-piece foldable acrylic IOL through a 1.80 mm corneal incision

Cited by 13 publications

References 27 publications

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

<p>Scleral Fixation of Single-Piece Foldable IOL Using Double-Flanged Technique</p>

Complications and visual outcome of sutureless, scleral fixated intraocular lens in cases with traumatic aphakia

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