Transscleral Fixation of Single-Piece Hydrophilic Acrylic Lenses With No Eyelets

Abstract

Scleral fixation ofsulcus intraocular lenses is performed by most surgeons to correct aphakia in eyes with insufficient capsular support in which intraocular lenses cannot be implanted into the bag or sulcus. The implantation of foldable lenses maintains the advantages of small incision surgery, working with a closed system, less astigmatism, faster wound healing, and early visual rehabilitation. The authors describe a technique for using a single-piece hydrophilic foldable acrylic lens with no eyelets for scleral fixation.

Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction

“…[1][2][3][4][5][6] Although numerous publications have introduced several surgical methods of transscleral fixation using various types of IOL, ophthalmologists are often unsure which type of IOL to use and how it should be fixed. 3,[5][6][7][8][9][10][11][12][13][14][15][16][17][18] Maintaining proper lens position is one of the important factors for a successful transscleral fixation. However, IOL-related complications, including decentration, tilting, and dislocation, are major concerns for surgeons using the transscleral fixation method.…”