LONG-TERM SURGICAL OUTCOMES OF SCLERAL FLAP VERSUS SCLERAL POCKET TECHNIQUE FOR SUTURELESS INTRASCLERAL ONE-PIECE LENS FIXATION
Published 2025 - 29th ESCRS Winter Meeting
Reference: PO029 | Type: Free Paper | DOI: 10.82333/vyxd-h458
Authors: Paola Marolo* 1 , Paolo Caselgrandi 1 , Guglielmo Parisi 1 , Enrico Borrelli 1 , Matteo Fallico 2 , Mario Toro 3 , Luca Ventre 4 , Agostino S Vaiano 5 , Michele Reibaldi 1
1University of Turin,Turin,Italy, 2University of Catania,Catania,Italy, 3University of Naples,Naples,Italy, 4Beauregard Hospital,Aosta,Italy, 5Santa Croce e Carle Hospital,Cuneo,Italy
Purpose
To compare long-term surgical outcomes of scleral flap versus scleral pocket technique for sutureless intrascleral one-piece intraocular lens (IOL) fixation.
Setting
The procedures were performed at “Città della Salute e della Scienza” Hospital, University of Turin, Italy.
Methods
A retrospective comparative study was conducted at a single center, involving consecutive patients undergoing sutureless intrascleral one-piece IOL implantation between January 2020 and May 2022. Eyes were divided into two groups based on the surgical technique: group 1 underwent scleral flap (n=64), group 2 received scleral pocket technique(n=59). Visual acuity, refractive outcomes and complications were assessed over a minimum 24-month follow-up period.
Results
Both groups showed improvements in best-corrected visual acuity (BCVA) at 24 months: Group 1 with 0.39±0.23 logMAR (P=0.042) and Group 2 with 0.45±0.38 logMAR (P=0.039). No significant BCVA differences were found between groups at 12 (P=0.496) or 24 months (P=0.557). Spherical equivalent, refractive prediction error, surgically induced astigmatism, IOL tilt, and decentration were comparable (P>0.05). Endothelial cell density was similar: 1545±442.3 cells/mm² in Group 1 and 1417±623.4 cells/mm² in Group 2 (P=0.483). Complication and surgical reintervention rates were similar between the two groups. No cases of endophtalmitis were observed.
Conclusion
The scleral pocket technique for sutureless intrascleral one-piece IOL fixation is comparable to the traditional scleral flap technique in terms of long-term visual outcomes and safety. The scleral pocket technique offers a simplified approach and a viable option even for less experienced surgeons.