Abstract
Purpose To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Results The expected best corrected visual acuity could be achieved after one month. Surgeries were uneventful with a stable eye. No postoperative complications occurred except for one patient who had a conjunctival disinsertion. Neither postoperative hypotony nor raised IOP was found. Additionally, no patient experienced corneal edema at one week control, IOL dislocation, vitreous hemorrhage, or new pupil's irregularity. Conclusions In conclusion, each scleral technique has its own advantages and its inherent postoperative complications. To date, there is no evidence of superiority of any single technique. By improving our scleral sutured lens techniques, we could improve peroperative ocular stability, potentially decrease postoperative complication rate, and offer a rapid recovery with a stable visual acuity within a month.
Highlights
To evaluate the outcomes and safety of a minimally invasive technique for sutured intraocular lens (IOL) scleral fixation in case of compromised capsular and iris support
Should the Sutured Scleral Fixation IOL Technique Be Ostracized? A MiniInvasive Technique e ideal place for an intraocular lens (IOL) is in the capsular bag, where it can be tolerated by ocular tissues for decades
E IOL placement in a nonphysiologic anatomical position may result in recurrent iritis, UGH syndrome, ocular hypertension and glaucoma, macular edema, corneal endothelial cell loss and decompensation, retinal detachment, or IOL dislocation
Summary
The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Once the surgical knots are completed, the lower haptic is reintroduced into the anterior chamber with Troutman forceps and the lens is pushed back behind the iris plane with the help of a vitreous spatula (Figure 1(k)). Aphakia resulted from ocular injury in the 2 male subjects and from a complicated cataract surgery for the female patient
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