Techniques of Intraocular Lens Suspension in the Absence of Capsular/Zonular Support

Por, Yong Ming; Lavin, Michael

doi:10.1016/j.survophthal.2005.06.010

Cited by 303 publications

(269 citation statements)

References 126 publications

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“…Each of these IOL has its own advantages and disadvantages. ACIOL is technically less demanding but has potential for increased damage to the corneal endothelium and the angle structures (Por et al, 2005). Iris claw and iris fixated IOLs have increased chances of pigment release and intraocular inflammation (Por et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Agarwal

Gurung

et al. 2016

Nep J Oph

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Introduction: In the absence of capsular support, anterior chamber intraocular lens (IOL), iris fixated IOL and sutured scleral fixated intraocular lens (SFIOL) implantation have been performed for many years. Recently sutureless glued SFIOL have been used as a primary or secondary procedure to correct aphakia. In this study we have used sutureless and glueless technique of SFIOL implantation. Methodology: An interventional case series was conducted. Aphakic patients without capsular support, sub-luxated lens (>180˚), dislocated lens and dislocated IOL were the inclusion criteria. The patients with hazy cornea, non-dilating pupil, macular scar and glaucoma were not enrolled in the study. Results: Of 62 eyes who completed 1 month followup, 48 were men and 14 women. There was a significant improvement in uncorrected distance visual acuity after surgery (p<0.001). One month postoperative best corrected distance visual acuity was 6/18 or better in 45 eyes (72.6%). The common early postoperative complications were hypotony, corneal edema. No serious complications such as endophthalmitis and retinal detachment were seen. Conclusion: Our technique of sutureless and glueless SFIOL implantation showed good visual outcome in the absence of serious complications. SFIOL will be the only choice in eyes that have anatomic contraindications like non constricting pupil, large sectoral iridectomy and peripheral anterior synechia in which other types of lens are not suitable.

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Section: Introductionmentioning

confidence: 99%

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Agarwal

Gurung

et al. 2016

Nep J Oph

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“…The possible complications of the IOL scleral fixation in the posterior chamber using suturing techniques include suture-caused erosion, suture exposition, and recurrent IOL dislocation caused by suture rupture [26]. All of those can be avoided by employing the non-suture technique of fixation.…”

Section: Discussionmentioning

confidence: 99%

Pars plana vitrectomy with transscleral fixation of posterior chamber lens in the treatment of post-traumatic lens dislocation

et al. 2018

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Purpose To present our experience with post-traumatic lens dislocation management by vitrectomy followed with sutureless artificial lens fixation. Methods The retrospective study involved 15 patients (12 men and 3 women) aged from 36 to 78 (on average, 63 years old), from the Vitreoretinal Surgery Teaching Hospital, operated in the years 2013-2015. All cases concerned ocular traumas with dislocation of the natural or artificial lens to the anterior chamber, vitreous body chamber, or posttraumatic aphakia. After vitrectomy, patients had the implant fixated with a technique devised by Scharioth-sutureless fixation of posterior chamber implants in the groove area, with haptics placed in scleral tunnels parallel to the corneal limbus. Preoperative and postoperative condition of the eye was assessed.Results The average period of observation was 29 weeks. Average pre-surgery refraction was ? 10.75, while post-surgery ? 1.25. Average bestcorrected visual acuity in Snellen charts before surgery was 0.3 and at the end of the observation period 0.5. The improvement in visual acuity after surgery in relation to visual acuity before surgery was statistically significant (P = 0.005). In the first 2 weeks after surgery, minor hypotonia was observed in three of the patients, while in two-moderate bleeding to the vitreous body and the anterior chamber, which subsided without surgical intervention. A slight decentration of the implant observed in two cases did not affect later refraction or BCVA. Conclusion Basing on the abovementioned facts, we believe that this surgical approach facilitates the fixation of the dislocated lens and allows a successful treatment of secondary implantation or repositioning of a dislocated intraocular lens.

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“…10 The suture-related complications of the conventional scleral IOL fixation technique are not encountered in the SSF technique. 11 Injection of a foldable IOL through a CCI also contributes the less surgical-induced astigmatism. 10 The incidence of chronic inflammation or recurrent bleeding is lower in the SSF technique than the other techniques.…”

Section: Discussionmentioning

confidence: 99%

Trocar-assisted sutureless intrascleral posterior chamber foldable intra-ocular lens fixation

Totan

Karadağ

2012

Eye

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Purpose We report a novel technique characterized by sutureless scleral fixation of three-pieces foldable intraocular lens (IOL) using 25-gauge transconjunctival sutureless vitrectomy (TSV) trocars in patients with insufficient posterior capsule support. Materials and Methods We performed this technique on the eight eyes of the seven patients. The scleral tunnels (STs) are prepared by insertion of the 25-gauge TSV microcannulas using the trocars, and anterior vitrectomy is performed through the clear corneal paracentesis with the aid of anterior chamber maintainer (ACM). Finally, the threepiece foldable IOL haptics are incarcerated into the prepared STs. Results The patients were followed up 5-8 months. None of the patients had complications such as postoperative endophthalmitis, glaucoma, IOL tilt or decentralization, and retinal detachment. Injection of a foldable IOL through a clear corneal small incision also contributes the less surgical-induced astigmatism. Conclusion The presented novel sutureless scleral IOL fixation technique may provide minimal trauma to the surrounding tissues, good IOL stabilization decreasing the incidence of IOL tilt along with shorter operation time, and postoperative quiet eye.

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Techniques of Intraocular Lens Suspension in the Absence of Capsular/Zonular Support

Cited by 303 publications

References 126 publications

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Pars plana vitrectomy with transscleral fixation of posterior chamber lens in the treatment of post-traumatic lens dislocation

Trocar-assisted sutureless intrascleral posterior chamber foldable intra-ocular lens fixation

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