A NOVEL TECHNIQUE FOR SCLERAL FIXATION OF CARLEVALE INTRAOCULAR LENS WITHOUT CONJUNCTIVAL OPENING UTILIZING HOFFMAN...

Area of Science:

• Ophthalmology
• Surgical Techniques
• Intraocular Lens Implantation

Background:

• Intraocular lens (IOL) dislocation is a significant complication requiring surgical intervention.
• Traditional scleral fixation methods can involve conjunctival dissection, increasing complication risks.

Purpose of the Study:

• To present a novel surgical technique for scleral fixation of the Carlevale intraocular lens (IOL).
• To evaluate the efficacy of using Hoffman pockets for IOL fixation without conjunctival dissection.

Main Methods:

• A case report of an 80-year-old female with dislocated IOL.
• Scleral pockets were created using the Hoffman technique for Carlevale IOL implantation.
• The IOL harpoons were secured within the constructed scleral pockets.

Main Results:

• The surgical procedure was uneventful with no intraoperative complications.
• The Carlevale IOL remained stable in the scleral pockets during a 3-month follow-up.
• Significant visual acuity improvement was noted, with no postoperative complications recorded.

Conclusions:

• Scleral pockets created via the Hoffman technique provide secure fixation for Carlevale IOL haptics.
• This technique minimizes conjunctival opening, enhancing patient comfort and reducing infection risk.
• The presented method is a reliable and effective alternative for Carlevale IOL scleral fixation.