The Suture-In-Needle, Closed-Loop Technique for Repositioning a Dislocated Akreos Adapt Intraocular Lens

Area of Science:

• Ophthalmology
• Surgical Techniques
• Medical Devices

Background:

• Dislocation of intraocular lenses (IOLs) can lead to visual impairment.
• Traditional repositioning techniques may involve scleral flaps or conjunctival dissection, increasing surgical complexity and complication risks.

Purpose of the Study:

• To evaluate a modified, minimally invasive trans-scleral technique for repositioning dislocated Akreos Adapt IOLs.
• To assess the safety and efficacy of a suture-in-needle, closed-loop method without scleral flaps.

Main Methods:

• A retrospective case series of 17 eyes with subluxated or dislocated Akreos Adapt IOLs.
• Utilized an 8-0 polypropylene suture passed through IOL haptics via a bent needle, with knots buried in the sclera.
• Collected data on visual acuity, IOL position, intraocular pressure, endothelial cell counts, and complications over a minimum 6-month follow-up.

Main Results:

• All 17 cases achieved stable, well-centered IOLs and improved best-corrected visual acuity.
• No significant intraoperative or postoperative complications were noted, including tilt, decentration, or suture issues.
• The technique demonstrated excellent anatomical and functional outcomes.

Conclusions:

• The suture-in-needle, closed-loop technique is a safe and effective minimally invasive option for trans-scleral IOL refixation.
• This method avoids scleral flaps and conjunctival dissection, potentially reducing surgical morbidity.
• It offers excellent outcomes for dislocated Akreos Adapt IOLs.