New sutureless scleral fixation technique using an intraocular lens with self-blocking plugs on haptics: four year results

Session Details

Session Title: Cataract Surgery Complications/Management

Session Date/Time: Monday 12/09/2016 | 16:30-18:15

Paper Time: 17:44

Venue: Auditorium C6

First Author: : C.Carlevale ITALY

Co Author(s): :                        

Abstract Details

Purpose:

To report a four year results of a sutureless technique in the treatment of aphakic patients with lack of capsular support by using a new transsclerally fixated intraocular implant with self-blocking plugs on the haptics.

Setting:

Carlevale Eye Center , Fondi (LT), Italy

Methods:

A four year clinical results (best-corrected visual acuity,intraocular pressure,SL examination,UBM and OCT) and analysis of videos (intra-operative problems) of eight aphakic eyes with lack of capsular support underwent a surgical procedure of scleral fixation of PC IOL implant. A new self-blocking plugs on the haptics IOL was used and the surgical technique to implant described: After insertion of the intraocular lens in the anterior chamber, the self-blocking plug of the leading haptic was grasped with a 23G vitrectomy forceps and from the ciliary sulcus was pulled out in the bed of the scleral flap and sutured in the classical way.

Results:

There was no intra-operative complications except for a light bleeding from the ciliary sulcus. A high visual outcome was obtained in all cases except for the first patient who had pre-existing macular scar. No plug erosion through the sclera, scleral necrosis, rupture or dislocation of the implant occurred within a mean follow-up of four years.

Conclusions:

The presented technique and the new IOL offer a stable and quick fixation of the implants with sufficient resistance to tractive forces. By avoiding Prolene suture of the IOL to the haptics and to the bottom of the scleral flaps, this lens reduces the surgical procedure time, the risk of suture erosion and infection.

Financial Disclosure:

NONE