Novel technique of sutureless glueless intrascleral fixation of single-piece intraocular lens / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM: To explore single centre results of sutureless intrascleral fixation of single-piece posterior chamber intraocular lens(IOL).<p>METHODS: In this prospective study, 50 aphakia cases were evaluated. Preoperative and postoperative visual acuity, slit lamp and fundus examination, applanation tonometry, keratometry, IOL MASTER measurement, optical coherence tomography(OCT), Scheimpflug imaging were done for an extensive evaluation.<p>RESULTS: All IOLs were successfully implanted at the desired position without intraoperative complications. Postoperative complications included corneal edema(<i>n</i>=2), raised intraocular pressure(IOP)(<i>n</i>=3), cystoid macular edema(CME)(<i>n</i>=1)and decentration(<i>n</i>=2). All were managed to the level of good visual recovery. Surgery videos were retrospectively evaluated in cases of postoperative complications. There was no significant change in corneal astigmatism.<p>CONCLUSION: After extensive 6mo follow up with evaluation of a variety of parameters, our technique of sutureless, glueless scleral fixation of IOL using single-piece IOL has shown favorable results and a potential option in visual rehabilitation.