Ab externo approach to treat bilateral haptic extrusion secondary to scleral erosion of an intrascleral sutureless-fixated intraocular lens

Jürgens, Ignasi; Pighin, María Soledad

doi:10.1097/j.jcrs.0000000000000579

Cited by 5 publications

(10 citation statements)

References 7 publications

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“…3,5,7 In the postoperative period, both techniques may cause conjunctival erosion, haptic extrusion, and infection. [3][4][5]7,8 With the Yamane technique, IOL haptics are exteriorized from the sclera and then burned to create a "plug." This maneuvre prevents the haptic to slide back into the vitreous chamber through the sclerotomies.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly to the Yamane technique, the characteristic "t-shaped" harpoons of the Carlevale lens may extrude and damage the conjunctiva. 8 With the PIVC-assisted technique hereby described, it is easy to create sclerotomies of the same length, because the wound construction is straight and not bevelled. The exteriorization of the IOL haptics is relatively simple because they are directly grabbed with the forceps, reducing intraocular manipulation.…”

Section: Discussionmentioning

confidence: 99%

“…3,5,7 In the postoperative period, both techniques may cause conjunctival erosion, haptic extrusion, and infection. 3–5,7,8…”

Section: Discussionmentioning

confidence: 99%

“…2,6,7 However, long-term conjunctival erosion because of harpoons friction and externalization has been described. 8 The aim of this pilot report is to describe the functional and anatomical results of an alternative scleral fixation surgical technique that may guarantee similar outcomes and some advantages if compared with the Yamane technique and the Carlevale lens.…”

mentioning

confidence: 99%

“…2,6,7 However, long-term conjunctival erosion because of harpoons friction and externalization has been described. 8…”

mentioning

confidence: 99%

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Peripheral Intravascular Catheter-Assisted Sutureless Scleral Fixation of Three-Piece Intraocular Lenses: A Novel Technique

Radice¹,

Carini²,

Matteucci³

et al. 2023

Retina

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To describe and report the anatomical and functional outcomes of a novel sutureless peripheral intravascular catheter (PIVC)-assisted scleral fixation of three-piece IOL.Methods: A retrospective chart review of all patients who underwent scleral fixation surgery performed by a single surgeon was conducted. In all cases, a novel scleral fixation technique of three-piece IOL was performed with the aid of a 24-gauge PIVC cannula. Patients were followed up at postoperative months 1, 3, and 6.Results: Thirteen eyes of 12 patients were included in the analysis. Preoperatively, mean best-corrected visual acuity was 1.26 6 0.82 LogMar (20/364 Snellen Equivalent), and it improved significantly at all follow-up endpoints being of 0.52 6 0.25 LogMar at 1 month (20/66 Snellen Equivalent, P = 0.02), 0.4 6 0.22 LogMar at 3 months (20/50 Snellen Equivalent, P = 0.007) and 0.37 6 0.2 LogMar (20/47 Snellen Equivalent, P = 0.008) at 6 months postoperatively. No serious intraoperative or postoperative complications were registered. Postoperatively, there were no cases of conjunctival erosions. Over the follow-up period, in all the included cases, the IOL remained centered and stable. Conclusion:The PIVC-assisted scleral fixation technique may be a safe and reliable surgical option for secondary IOL placement in cases of insufficient capsular support.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…3,5,7 In the postoperative period, both techniques may cause conjunctival erosion, haptic extrusion, and infection. 3–5,7,8…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

“…2,6,7 However, long-term conjunctival erosion because of harpoons friction and externalization has been described. 8…”

mentioning

confidence: 99%

See 3 more Smart Citations

Peripheral Intravascular Catheter-Assisted Sutureless Scleral Fixation of Three-Piece Intraocular Lenses: A Novel Technique

Radice¹,

Carini²,

Matteucci³

et al. 2023

Retina

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Refractive outcomes for secondary sutureless posterior chamber lens implantation: sutureless scleral fixating lens Carlevale® versus retropupillary iris-claw lens Artisan®

Bontemps,

Loria,

Sejournet

et al. 2024

Graefes Arch Clin Exp Ophthalmol

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Purpose To compare refractive outcomes of the foldable intraocular lens sutureless scleral fixated sutureless (Carlevale® FIL-SSF) with the iris-claw lens (Artisan®). Methods This retrospective study included consecutive patients who underwent a FIL-SSF implantation or an iris-claw implantation between January 2020 and November 2022 in the ophthalmology departments of Hospices Civils de Lyon (France). Results A total of 271 eyes from 265 patients were included: 96 eyes in the FIL-SSF group and 175 eyes in the iris-claw group. At 6 months, the mean (SD) surgically induced astigmatism (SIA) was significantly lower in the FIL-SSF group with 0.3 (1.8) diopters against 0.8 (2.1) diopters in the iris-claw group (p = 0.01). The mean (SD) refractive error was also lower for the FIL-SSF group with 0.1 (1.2) diopters versus 0.5 (1.6) diopters in the iris-claw group (p < 0.001). The mean best corrected visual acuity at 6 months was not significantly different between FIL-SSF and iris-claw lens with 0.47 (0.58) logMAR and 0.39 (0.55) logMAR, respectively (p = 0.12). However, the mean (SD) operative time was longer for FIL-SSF implantation in comparison to iris-claw implantation (59.8 (21.1) minutes versus 41.9 (24.4) minutes, respectively (p < 0.001)). The rate of postoperative complications was similar between the two techniques. Conclusion This study shows that FIL-SSF achieves better refractive results than iris-claw lens, with a similar rate of postoperative complications. As a relatively new implantation technique, there is a learning curve required to reduce operating time. Key messages What is known? Multiple surgical options for correcting aphakia in the absence of capsular support can be used. Currently, foldable intraocular lens sutureless scleral fixated sutureless (FIL-SSF, Carlevale®) and iris-claw (Artisan®) implants are the two preferred options, but there is no consensus on the best technique to adopt. What is new? We showed that FIL-SSF has a significantly lower surgically induced astigmatism compared to the iris-claw implant. Similar rate of postoperative complications was found between these two techniques. Future studies with a longer follow-up period are needed to ascertain its tolerance.

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Efficacy and safety of intraocular folding sutureless scleral fixating lens versus iris-claw intraocular lens implantation

Bodin

Bourdon

Bennedjai

et al. 2022

Journal Français d'Ophtalmologie

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Ab externo approach to treat bilateral haptic extrusion secondary to scleral erosion of an intrascleral sutureless-fixated intraocular lens

Cited by 5 publications

References 7 publications

Peripheral Intravascular Catheter-Assisted Sutureless Scleral Fixation of Three-Piece Intraocular Lenses: A Novel Technique

Peripheral Intravascular Catheter-Assisted Sutureless Scleral Fixation of Three-Piece Intraocular Lenses: A Novel Technique

Refractive outcomes for secondary sutureless posterior chamber lens implantation: sutureless scleral fixating lens Carlevale® versus retropupillary iris-claw lens Artisan®

Efficacy and safety of intraocular folding sutureless scleral fixating lens versus iris-claw intraocular lens implantation

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