A Novel Modified Surgical Approach for FIL SSF Lens

Area of Science:

• Ophthalmology
• Surgical Techniques
• Intraocular Lens Implantation

Background:

• Subluxated or dislocated intraocular lenses (IOLs) pose a surgical challenge.
• Existing techniques for IOL repositioning or replacement have limitations.

Purpose of the Study:

• To describe and evaluate a novel modified surgical technique for FIL SSF lens implantation.
• To assess the safety, efficacy, and outcomes of this modified technique in patients with dislocated IOLs.

Main Methods:

• Retrospective analysis of six patients undergoing FIL SSF lens implantation for dislocated IOLs.
• Standard pars plana vitrectomy (PPV) followed by IOL removal and FIL SSF lens insertion via a 2.4 mm corneal incision.
• Creation of scleral pockets for lens plug externalization, with optional conversion to scleral flaps.

Main Results:

• Successful implantation in all six eyes with good lens centering and no tilting over a six-month follow-up.
• Improved visual acuity in all patients.
• No haptic exposure or other complications observed.

Conclusions:

• The modified FIL SSF lens implantation technique is safe, fast, easy, and versatile.
• It offers a viable option for managing aphakia and dislocated IOLs.
• Further prospective studies are recommended to compare techniques.