Title: No Suture No Glue Technique of Scleral Fixated IOL (SFIOL) Implantation for Management of Aphakia
Authors: S. Walia, Santosh Kashyap, V. Bhaisare, P. Rawat, N. Kori
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.187
Abstract
Purpose: To report results of a new technique for sutureless glueless intrascleral fixation of three piece posterior chamber intraocular lens (IOL) using 26-gauge needle for management of aphakia.
Design: Prospective, non-comparative, interventional case series.
Participants: 30 eyes of 30 consecutive patients with aphakia, dislocated IOL or subluxated crystalline lens who underwent3-piece posterior chamber sutureless glueless implantation of an IOL were studied.
Material and Methods: 26-gauge needle guided intrascleral fixation of three piece posterior chamber IOL was performed according to the described technique. The patients were evaluated on day 2,1 week,6 weeks and 3 months postoperatively for change in best-corrected visual acuity (BCVA),intraocular pressure, IOL centration and any other complications.
Result: None of the eyes developed any intraoperative and postoperative complications. The IOLs had appropriate centration and stability. A significant improvement in mean BCVA (P < 0.05) was observed after the procedure.
Conclusion: We have developed this new technique for intrascleral IOL fixation which is quite simple, minimally invasive, neither requires glue nor suture and gives consistent outcome.
Keywords: aphakia, sutureless, glueless, intrascleral fixation of three piece posterior chamber intraocular lens, 26-G needle.
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