One-Year Outcomes of Modified Technique for Scleral Fixation of a Three-Piece Intraocular Lens Without Conjunctival Opening

Front Med (Lausanne). 2022 Jun 2:9:856800. doi: 10.3389/fmed.2022.856800. eCollection 2022.

Abstract

Purpose: This study aimed to present the 1-year follow-up of a modified technique for scleral fixation of three-piece intraocular lens (IOLs) without conjunctival incision.

Materials and methods: A retrospective chart review of a consecutive series of 10 eyes of nine patients who underwent scleral IOL fixation using the modified technique was performed. Data were collected 1 year after surgery for all patients.

Results: The range of follow-up time was between 1 year and 31 months. At the last follow-up point, the IOL was well-positioned and the visual acuity was good (as limited by primary diseases). Short-term complications included pupillary IOL capture (n = 1) and decreased intraocular pressure (n = 1), and no long-term complications were observed.

Conclusion: Outcome data support this technique as a viable option for the management of secondary IOL fixation with flexible usage of more designs of IOLs.

Keywords: Hoffman pockets; intraocular lens; modified technique; outcomes; scleral fixation; three-piece.