The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Intraocular lens (IOL) scleral fixation is crucial for eyes with compromised capsular and iris support.
• Minimally invasive techniques aim to improve safety and outcomes in these challenging cases.

Purpose of the Study:

• To evaluate the outcomes and safety of a novel minimally invasive technique for sutured IOL scleral fixation.
• To assess visual acuity, complications, and IOL position in patients with compromised ocular structures.

Main Methods:

• Retrospective case series of three patients.
• Detailed explanation of a mini-invasive sutured IOL scleral fixation technique.
• Assessment of visual acuity, pre- and postoperative complications, and IOL position.

Main Results:

• Successful achievement of best corrected visual acuity within one month post-surgery.
• Uneventful surgeries with stable eyes and no major postoperative complications.
• One patient experienced conjunctival disinsertion; no hypotony, raised IOP, corneal edema, IOL dislocation, or vitreous hemorrhage observed.

Conclusions:

• The described minimally invasive scleral fixation technique demonstrates promising outcomes.
• Sutured scleral lens techniques can enhance ocular stability and potentially reduce complications.
• This approach may lead to rapid recovery and stable visual acuity in complex cataract surgeries.