Postoperative Results Of Modified Flanged Intrascleral Intraocular Lens Fixation Using 27-Gauge Forceps And Parallel Scleral Tunnel

To evaluate the postoperative results of a modified flanged intrascleral intraocular lens (IOL) fixation using 27-gauge forceps and parallel scleral tunnel.

 

Juntendo University Shizuoka Hospital

16 eyes of 16 patients underwent a modified flanged intrascleral IOL fixation using 27-gauge forceps and parallel scleral tunnel between August 2021 and December at the Department of Ophthalmology, Juntendo University Shizuoka Hospital, Japan. The mean age of the subjects was 70.3 years (range 40–91 years). Two incisions parallel to the limbus were made by 25-gauge MVR knife. Haptics of an IOL were externalized with the 27-gauge forceps(Eye Technology, Rayleigh, UK) and cauterized to make a flanged of the haptics. The flange of the haptics were pushed back and fixed into the scleral tunnels. Visual acuity, changes in corneal astigmatism, complications, and rate of corneal endothelial cell density loss were evaluated.

Visual acuity improved in all patients, and changes in corneal astigmatism were mild. As for complications, IOP elevation was seen in one eye (6%). There were no incidents of postoperative retinal detachment, endophthalmitis, or IOL dislocations. Although no scleral perforation was sutured without conjunctival incision, no leakage occurred. The mean IOL tilt was 2.53±0.78°.

Modified flanged intrascleral IOL fixation using 27-gauge forceps and parallel scleral tunnel was useful for fixing an IOL in a good position without conjunctival incision.