Related Experiment Video
Updated: May 15, 2026
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Sutureless intrascleral intraocular lens implantation after ocular trauma
Maher Saleh1, Antoine Heitz1, Tristan Bourcier1
1From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
Purpose:
To report the results and safety of sutureless intrascleral haptic fixation in traumatized eyes and to compare this procedure with retropupillary iris-claw intraocular lens (IOL) fixation.
Setting:
University Hospital of Strasbourg, Strasbourg, France.
Design:
Interventional case series.
Methods:
Patients with traumatic cataract and severely damaged capsular bags were divided into 2 groups (Group 1: intrascleral IOLs [Acrysof MN60 AC]; Group 2: retropupillary iris-claw IOLs [Verisyse]). The main outcome was the final visual acuity. The surgically induced astigmatism (SIA) was calculated by the vectorial method.
Results:
Twenty-six eyes of 23 patients were studied, 8 eyes in Group 1 and 18 eyes in Group 2. The mean follow-up was 14 months. There was no difference in corrected distance visual acuity (CDVA) at the time of the surgery (P>.05). The mean CDVA (logMAR) was 1.68 ± 1.15 (SD) preoperatively and 0.55 ± 0.9 postoperatively in Group 1 (P = .03) and 1.11 ± 1.13 and 0.32 ± 0.47, respectively, in Group 2 (P = .003). The final CDVA was not different between groups (P>.05). The mean SIA was 1.91 ± 1.66 diopters (D) in Group 1 and 2.74 ± 1.92 D in Group 2 (P>.05). No intraoperative complications occurred in Group 2; a haptic broke in Group 1. Macular edema occurred in both groups.
Conclusions:
Sutureless intrascleral IOLs corrected posttraumatic aphakia. The SIA was comparable between groups. This procedure should be considered after trauma when other implantation techniques are not possible.
