MODIFIED CARLEVALE IOL FIXATION TECHNIQUE: TWO VITRECTOMY PORTS AS LENS PLUG FIXATION SITES.

Abstract

To describe and evaluate the effectiveness of the modified Carlevale IOL fixation technique, using two vitrectomy ports as lens plug fixation sites. This prospective, consecutive, interventional study examined 60 eyes in 60 patients, who underwent 25- or 23-gauge vitrectomy for an intraocular lens (IOL) subluxation/luxation, lens dislocation, or aphakia, with Carlevale IOL implantation. Postoperatively, transient ocular hypotension was observed in 4 eyes. The mean refractive prediction error was -0.27 ± 0.78 diopters. No postoperative complications, such as retinal detachment, endophthalmitis, or IOL dislocation were observed in the 4-month follow-up. This new technique may be simple, fast, and effective due to fewer scleral wounds, as well as fewer postoperative complications.