Flanged Sutureless Intrascleral Haptic Fixation In Secondary Iol Implantation: Outcome And Complications

To evaluate the sutureless double needle intrascleral haptic fixation technique for secondary IOL implantation.

A prospective interventional non comparative study. The study was conducted at ophthalmology department Menoufia University Hospitals.

The inclusion criteria were patients with aphakia, a dislocated IOL or crystalline lens, a subluxated crystalline lens or IOL

A 3-piece IOL (Sensar AR40e acrylic IOL) was inserted into the AC using an injector. A 2 mm sclerotomy was made through the conjunctiva using a 27-gauge thin-wall needle at 2 mm from the limbs, The leading haptic was threaded into the lumen of the needle using a forceps. A second sclerotomy then was made with a 27-gauge thin-wall needle that was 180 from the first sclerotomy. The trailing haptic was inserted into the lumen of the second needle while the first needle was put on the eye lid. The ends of the haptics were cauterized using an ophthalmic cautery device to make a flange with a diameter of 0.3 mm. The flange of the haptics will be pushed back and fixed into the scleral tunnels.

Postoperative follow up was done at day 1, 7 one month and 3 months Patients were examined for postoperative complication IOL centralization, BCVA, IOP measurement.

There was no intraoperative haptic sliding or postoperative IOL dislocation.

Postoperative early complications occurred in 21 eyes and included corneal edema , epithelial defect , and grade 2 anterior chamber reaction. Late complications occurred in 46 eyes and included IOL decentration (, haptic extrusion , subconjunctival haptic, macular edema , and pigment dispersion.

Flanged Sutureless Intrascleral Haptic Fixation In Secondary IOL Implantation is cosidered a safe and effective technique compared with other procedure to correct aphakia.