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Needle-Guided Scleral Fixation: A New Single-Suture Approach
Laura De Luca1, Giovanni William Oliverio1, Maura Mancini1
1Ophthalmology Clinic, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy.
Journal of Clinical Medicine
|January 10, 2026
Summary
Meduri's needle-guided single-suture technique offers a safe and reproducible method for scleral fixation of intraocular lenses (IOLs) in patients with insufficient capsular support. This approach simplifies surgery and achieves stable IOL placement with excellent visual outcomes.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Intraocular Lens Implantation
Background:
- Scleral fixation of intraocular lenses (IOLs) is crucial for aphakia or inadequate capsular support.
- Conventional methods present technical challenges and risks.
- The needle-guided technique simplifies fixation with a single suture.
Purpose of the Study:
- To evaluate the safety and efficacy of Meduri's needle-guided single-suture technique for IOL fixation.
- To assess visual acuity, IOL centration, IOP, and complications over 24 months.
Main Methods:
- Retrospective interventional case series of 30 eyes with insufficient capsular support.
- Utilized Meduri's needle-guided single-suture technique with a 24-gauge needle and 10-0 polypropylene suture.
- Monitored outcomes including BCVA, IOL centration, IOP, and complications.
Main Results:
- Significant improvement in mean BCVA from X to Y LogMAR at two years (p < 0.05).
- All IOLs demonstrated excellent centration without tilt or decentration.
- Mild conjunctival hyperemia (70%) resolved spontaneously; no major complications like suture erosion or retinal detachment occurred.
Conclusions:
- The needle-guided single-suture technique is a stable, efficient, and reproducible method for posterior chamber IOL fixation.
- It offers a reduced learning curve and surgical complexity compared to traditional and sutureless methods.
- This technique is particularly suitable for centers lacking specialized vitreoretinal expertise.
