Safety of transscleral-sutured intraocular lenses in children

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.…”

Evaluation of Artisan aphakic intraocular lens in cases of pediatric aphakia with insufficient capsular support

“…Consequently new techniques of scleral fixation that use scleral tunnels have been developed. [8][9][10][11] The Artisan IOL (Ophtec BV, Groningen, The Netherland) is one of the latest versions of the iris-fixated anterior chamber IOLs with a substantially different lens design than the previous generations of iris-fixated IOLs. It has been reported as a suitable choice in the absence of capsular support, for example in aphakia after surgery for luxation of the crystalline lens (ie, Marfan syndrome) or traumatic cataract.…”

Scleral Fixated Posterior Chamber Intraocular Lens for Children with Traumatic Cataract

“…The main complications of the surgery include vitreous hemorrhage, hyphema, suprachoroidal hemorrhage, choroidal effusion, cystoid macular edema, retinal detachment, pigment dispersion, infection, glaucoma, pupillary involvement, IOL decentralization and dislocation. 15,16 In our study the most frequent early complication was fibrinous reaction in anterior chamber (4 patients, 36.4%). In one patient (9.1%) membrane formation in the pupillary space was occurred.…”