ESCRS - PP04.08 - Title: Peripheral Capsule Reconstruction And Iol Centration With The Fixoflex Ring

Title: Peripheral Capsule Reconstruction And Iol Centration With The Fixoflex Ring

Published 2022 - 40th Congress of the ESCRS

Reference: PP04.08 | Type: Free paper | DOI: 10.82333/mhqr-e966

Authors: Ioannis Pallikaris* 1 , Harilaos Ginis 2 , Loukia Leonidou 3 , Dimitris Liakopoulos 4 , Ahmed Elmassry 5

1Department of Medicine,University of Crete,Heraklion,Greece, 2Department of research,Diestia,Athens,Greece, 3Research,EYE-PCR B.V.,Heraklion,Greece, 4Ophthalmology,Paidon,Athens,Greece, 5Ophthalmology,Alexandria University,Alexandria,Egypt

Purpose

To report on the surgical observations and clinical outcomes following 122 implantations of the fixOflex ring in cataract patients with follow up ranging from 6 months to 26 months. 

 

Setting

Elnour Eye Center, Alexandria, Egypt and University of Crete, Heraklion Greece

Methods

The fix-O-flex ring is manufactured from hydrophylic acrylic, fills the capsular bag and retains concentrically the optic of the intraocular lens (IOL) with special retainers.  It is implanted via a 2.4mm injector.  One hundred and twenty-two (122)  patients were randomly recruited and received the ring in combination with a Tecnis (ZCB00) (Johnson And Johnson New Brunswick, NJ) IOL. Follow up intervals included one day, one week, one month, three months, six and twelve months postoperatively. Four patients were examined in the 24-26 months postoperative interval. 

Results

Mean Best Spectacle corrected Visual Acuity after 12 months was 0.95 (SD 0.12). Mean refractive surprise (difference from target refraction) was -0.49D (SD ) at 12 months postoperative interval. Refraction was stabilised (no statistical difference between corresponding intervals) after the 3 months interval. Mean time for ring implantation was 1 min and 23 sec (SD 0.31 min). None of the patients has developed posterior capsule opacification (PCO) requiring intervention in the study period (up to 26 months). No serious adverse events were observed.

Conclusions

The Fix-o-flex ring provides an open capsule space for IOL implantation. Biometry and refraction were stable postoperatively. Implantation was fast and safe. Intraoperative complications involved the position of the ring and the IOL after implantation and were controlled by surgical manipulations.