SCLERAL-FIXATED SUTURE-FREE INTRAOCULAR LENS (CARLEVALE)- A PROMISING ALTERNATIVE
Published 2025 - 29th ESCRS Winter Meeting
Reference: PO081 | Type: Presented Poster & Poster | DOI: 10.82333/8g7a-jj35
Authors: Yasmina Abdelrazik* 1 , Panayiotis Maghsoudlou 1 , Mohamed Elashry 1
1Ophthalmology Department,Great Western Hospitals NHS Foundation Trust,Swindon,United Kingdom
Purpose
The ideal management of aphakia with absence of capsular support remains uncertain.1
Carlevale intraocular lens (IOLs) are a new self-locking scleral-fixated suture-free lens. Their novel design offers an easy alternative to anterior chamber, iris-fixated and posterior chamber scleral fixated IOL’s due to both reduced surgical time and complexity as well as a reduction in suture-associated complcaitions.1
Setting
Outpatient ophthalmology department in a teaching general district hospital.
Methods
A retrospective interventional study reviewing the use, indications and outcomes of Carlevale lens in both adult and paediatric patients with aphakia, IOL subluxation or lens dislocation within our medical centre since 2020.
Results
We report the use of Carlevale lens in 31 patients over the past 4 years in our centre. Sixty eight percent of patients were male, 32% were female. Patient ages ranged from 11 to 85 (mean=61). Our study found an improvement in the mean visual acuity post-operatively. Mean pinhole and best corrected visual acuity improved from 0.97 (SD 0.37) and 1.05 (SD 0.49) to 0.53 (SD 0.37) and 0.35 (SD 0.25), respectively. There was no significant change (p=0.59) in the mean intraocular pressure pre-operatively (14.45, SD 4.36) and post-operatively (16, SD 8.9). Furthermore, no significant difference (p=0.34) was found in the mean central corneal thickness (CCT) pre-operatively (570, SD 61) and post-operatively (561,SD 61). There were no cases of visual impairment post operatively. Post-operative complications reported were: cystoid macular oedema (n=5), raised IOP due to dexamethasone drops (n=2), corneal oedema (n=2) and haptic lens prolapse (n=1).
Conclusion
Carlevale lens were used effectively in patients with insufficient capsular support as a result of both medical conditions and complex past ocular histories. Post-operative complications identified were similar to those following standard cataract surgery. There is a need to directly compare the use of Carlevale lens to different IOL’s in aphakia as Carlevale lens may offer better patient outcomes.
References:
1.Carlà, M.M.et al. (2022) ‘Sutureless scleral fixation Carlevale IOL: A review on the novel designed Lens’, International Ophthalmology, 43(6), pp. 2129–2138. doi:10.1007/s10792-022-02579-w.