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Scleral fixated intraocular lens implantation with a modified Z-suture technique

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Session Details

Session Title: Presented Poster Session: Cataract Complications Management

Venue: Poster Village: Pod 1

First Author: : M.Vatansever TURKEY

Co Author(s): :    E. Dinc   O. Dursun   G. Markirt   B. Aydin   A. Yilmaz   U. Adiguzel

Abstract Details


To evaluate visual outcomes and complications in scleral fixated intraocular lens (IOL) implantation with the modified Z-suture technique.


Mersin University Faculty of Medicine, Department of Ophthalmology, Mersin, Turkey


Thirty-five eyes of 35 patients (20 male, 15 female) were included. Patients underwent scleral fixated IOL implantation using the modified Z-suture technique and were followed in terms of visual acuity and complications.


Mean postoperative follow-up time was 12.46±7.46 months. Mean best corrected visual acuity (BCVA) was 1.35±0.91 logMAR preoperatively and 0.48±0.39 logMAR postoperatively (p<0.001). No suture-related complications were observed during follow-up in any of the patients. Slight inferotemporal dislocation of the IOL was observed at postoperative 5 months in 1 patient (2.85%) who experienced blunt trauma. It caused no optic disturbance and repeated surgery was not advised. Transient intravitreal hemorrhage was observed in 2 patients (5.7%) who underwent combined scleral fixation and pupilloplasty.


The modified Z-suture technique is simple, fast, and was determined to be safe in terms of complications. However, long-term outcomes should be evaluated in larger patient groups.

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