Scleral fixated intraocular lens by a modified technique: Methods and results

Area of Science:

• Ophthalmology
• Surgical Innovation
• Intraocular Lens Implantation

Background:

• Compromised capsular integrity can lead to dislocated intraocular lenses (IOLs).
• Various surgical techniques exist for repositioning IOLs without adequate capsular support.

Purpose of the Study:

• To evaluate the functional outcomes and complication profile of a modified surgical technique for dislocated IOLs.
• To assess the efficacy of sutureless intrascleral fixation in cases of deficient capsular support.

Main Methods:

• Retrospective review of 68 eyes undergoing modified IOL repositioning between 2012-2017.
• Analysis of visual acuity, refractive error, intraocular pressure, and complications at baseline and six months.
• Presentation of the modified sutureless intrascleral fixation technique.

Main Results:

• Significant improvement in best-corrected visual acuity from 0.80 to 0.40 LogMar (P<0.005).
• Stable median astigmatic error post-surgery.
• Zero intraoperative complications and a low postoperative complication rate (10.2%).

Conclusions:

• Sutureless intrascleral fixation is a viable surgical option for dislocated IOLs with inadequate capsular support.
• The technique offers visual outcomes and complication rates comparable to existing methods.