Suturless scleral fixation using carlevale lens

Session Details

Session Title: Cataract
Session Date/Time: Friday 21/02/2020 | 10:30-13:00
Paper Time: 11:30
Venue: Fes 1.

First Author: F.Barca ITALY
Co Author(s): F. Barca  L. de Angelis  T. Caporossi  A. Savastano  L. Di Leo  S. Rizzo  

Abstract Details

Purpose:

To assess the surgical and refractive outcomes of a new technique of sutureless scleral fixation (SSF) using a single-piece foldable acrylic Carlevale-lens® (Soleko)

Setting:

The study was conducted at AOUC Careggi hospital in Florence, Italy

Methods:

This is a prospective, observational study of 32 patients with aphakia, dislocated IOL or subluxated crystalline lens who underwent sutureless scleral fixation of a monofocal hydrophobic acrylic Carlevale lens® with handshake technique. Patient’s data including pre-operative and post-operative refractive status, complications during and after surgery were recorded. Intraocular lens tilt was evaluated with anterior segment (AS)- OCT.

Results:

Mean age was 78.25 ± 4.24 years. Twenty-two were  IOL/bag luxation, 9 were aphakia and 3 were  subluxated crystalline lens. Mean pre-operative BCVA was 0.46 ± 0.29 and at 8 month follow-up improved to 0.13 ± 12 logMAR (p<0.05) with a predictive error (PE) spherical equivalent of -0.24 ± 0.81 D. Intraocular IOL tilt found was 2.08° ± 1,19°. One patient (3.1%) experienced transient CME,  and 1 (3.1%) vitreous hemorrhage. Lens dislocation, conjunctival erosion and plugs externalization were not observed in any eye during the follow-up.

Conclusions:

In conclusion  SSF using Carlevale Lens® implanted with the handshake technique represents a valid option for the management of  aphakia, IOL-bag complex dislocation and crystalline lens subluxation with unique characteristics of stability.  The advantages of this technique are the absence of the haptic manipulation,  self-centration and the firm fixation of the  lens.

Financial Disclosure: