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Vienna 2018 Delegate Registration Programme Exhibition Virtual Exhibition Satellites 2018 Survey


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Comparison of two modified sutureless techniques of scleral fixation of intraocular lens

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Session Details

Session Title: IOL Dislocation & Opacification

Session Date/Time: Tuesday 25/09/2018 | 14:00-16:00

Paper Time: 14:30

Venue: Room A3, Podium 1

First Author: : A.Kothari INDIA

Co Author(s): :    A. Kelkar   J. Kelkar   H. Mehta   S. Chitale           

Abstract Details


To compare the visual outcome and complications of two different sutureless scleral fixated intraocular lens (IOL) implantation techniques viz. intrascleral IOL fixation technique and modified Yamane’s technique of scleral fixation of IOL.


National Institute of Ophthalmology, Pune, India


Patients who underwent scleral fixation of IOL (SFIOL) from June 2015 to February 2017 with more than 6 months follow up were examined retrospectively. Improvement in visual acuity, intraocular pressure (IOP) measurements, endothelial cell count, central macular thickness (CMT) and intraoperative/postoperative complications were compared at 6 months follow up.


70 eyes were analyzed. The mean follow up was 10.5 + 1.5 months. The final visual outcomes in both groups viz. modified intrascleral IOL fixation technique (Group A, n=30) and modified Yamane’s technique (Group B, n=40) were comparable. Majority of the eyes (92%) improved to visual acuity 0.3 logMAR units or better. The uncorrected distance visual acuity, endothelial cell density and central macular thickness at 6 months follow up were comparable in both groups. Postoperatively, transient IOP rise occurred in 18 eyes, retinal detachment and vitreous hemorrhage in 1 eye each and cystoid macular edema in 2 eyes.


Both the techniques have favorable visual outcome however, modified 27 g needle assisted Yamane’s technique is technically superior since because of its transconjunctival approach, less surgical time and its needle assisted approach for haptic externalization prevents haptic damage during externalization.

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