Application of a four-flanged intrascleral fixation technique for toric and multifocal intraocular lenses

Woong-Joo Whang; Hyunggoo Kwon; Sohee Jeon

doi:10.1016/j.ajoc.2020.100933

Application of a four-flanged intrascleral fixation technique for toric and multifocal intraocular lenses

Am J Ophthalmol Case Rep. 2020 Sep 17:20:100933. doi: 10.1016/j.ajoc.2020.100933. eCollection 2020 Dec.

Authors

Woong-Joo Whang¹, Hyunggoo Kwon², Sohee Jeon²

Affiliations

¹ Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
² Keye Eye Center, Seoul, Republic of Korea.

Abstract

Purpose: To report clinical outcomes of a four-flanged intrascleral fixation technique using toric and multifocal intraocular lens.

Observations: We describe two cases of premium intraocular lens (IOL) implantation after which the patients fully recovered their visual function following a four-point sutureless scleral fixation technique via a 2.8-mm corneal incision. In the first case, a monofocal toric hydrophobic lens consisting of two haptic plates with four holes for suturing was fixated with 5-0 polypropylene monofilament. In the second case, a bifocal hydrophobic lens with the same haptic design was fixated. No conjunctival or scleral sutures, glue, or flap formation was required during the surgery. There were no complications related to the surgical process.

Conclusions and importance: A four-flanged intrascleral fixation technique may benefit patients with poor zonular support who have high expectations for postoperative visual quality.

Keywords: Multifocal intraocular lens; Scleral fixation; Toric intraocular lens.

Publication types

Case Reports