CM T flex scleral fixated intraocular lens short-term outcomes in different clinical scenarios

Abstract

Objective: The purpose is to report the visual outcomes of a “T”-shaped haptic scleral fixated intraocular lens (SFIOL) implanted using the sutureless technique in different clinical scenarios. Material and Methods: A retrospective case series, where patients implanted with “T”-shaped haptic SFIOL between September 2022 and February 2023, were included in the study. Subjects with missing data were excluded from the study. All surgeries were performed by a single surgeon. Pre- and post-surgery follow-up visual acuity and intraocular pressure were noted. Post-operative centration of intraocular lens (IOL), haptics condition, and occurrence of any complication were noted. Results: Overall, 20 eyes of 19 patients were implanted with “T”-shaped haptic SFIOL and had a mean age of 54.15 ± 15.99 years. None of the patients had any intraoperative IOL damage or any other intraoperative complication. There was a significant improvement in visual acuity post-SFIOL implantation (Paired t-test, P < 0.001), which was noted. Corneal edema was noted in one patient. IOL was stable and well-centered in all patients. No haptic-related complications were encountered. Conclusions: SFIOL with “T”-shaped haptic is a viable option for aphakic cases with inadequate capsular support. IOL implantation with “T”-shaped haptic is sutureless, less damaging to ocular structures and has a shorter learning curve making it easier for implantation.