Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture

Intrascleral fibrin glue intraocular lens fixation combined with Descemet-stripping automated endothelial keratoplasty or penetrating keratoplasty

“…4,5 However, the technique is associated with a longer learning curve, prolonged intraoperative manipulation, postoperative pseudophacodonesis, and risk for postoperative decentration resulting from suture degradation or knot slippage. [6][7][8][9][10][11][12] To overcome these problems, a new technique of fibrin glueassisted sutureless fixation of posterior chamber IOLs (PC IOL) in eyes with deficient posterior capsule support has been described. 13 In this study, we evaluated the technique and outcomes of intrascleral fixation of IOLs with fibrin glue combined with corneal transplantation (ie, PKP or DSAEK) for the treatment of endothelial decompensation.…”

“…22 The safety and long-term efficacy of a transsclerally sutured PC IOL are less than satisfactory. 7,8,23 In addition to problems related to accurate suturing at the ciliary sulcus, there are issues with IOL-iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration.…”

Safety of transscleral-sutured intraocular lenses in children

“…32 Other reports in which authors used ultrasound biomicroscopy have shown that a significant percentage of haptics, as many as 50%, are outside the ciliary sulcus. [34][35][36] Does sulcus fixation really result in membrane formation? Lubniewski et al 37 reported on 3 eyes with sutured IOLs that underwent enucleation.…”

Iris fixation of foldable intraocular lenses for ectopia lentis in children

“…[23][24][25][26] In our technique, the remaining superior zonule and capsule are useful at the time of surgery to ensure IOL positioning. The reduced surface of this remaining peripheral capsule avoids secondary visual axis opacification, and the superior suture limits the risk for IOL dislocation, even in case of later zonule rupture.…”