Our Experience In The Management Of Aphakia And Intraocular Lense (Iol) Dislocation Of Different Etiologies Employing Soleko Fil Ssf Iol

To report our experience in patients who underwent implantation of Soleko FIL SSF intraocular lens due to a variety of indications. A description of demographics, outcomes, and reported complications is provided.

All cases hereby reported comprise surgeries performed by the senior author in different health centres in Spain.

Anonymous data of patients were recorded in a retrospective way to summarise and analyse the demographics, indications of surgery, and outcomes. 

Only cases without preexistent cystoid macular edema (CME) were included. 

In brief, the surgery involved generating two scleral flaps next to the limbus at 0º and 180º. Then, a complete vitrectomy was performed. If an IOL was present, it was removed through a 2.75 mm clear corneal incision. Afterwards, two sclerotomies were created beneath the scleral flaps at 2 mm from the limbus. The Soleko FIL SSF IOL was then implanted through the corneal incision and fixated to the sclera.

For data analysis, the software of IBM SPSS Statistics (Version 29.0.0.0) was used.

A total of 52 eyes of 48 patients were analyzed, of whom 53.8% were male. The average age was 73.67 years old. The mean best-corrected visual acuity (BCVA) before and after surgery was 0.21 and 0.61, respectively. Postsurgical cystoid macular edema was present in 6 cases, although it was persistent only in 4. Most cases (65%) required an explantation of  an IOL due to a dislocated IOL. The other 35% were complicated cataract surgeries in which no IOL was primarily implanted. The mean spherical equivalent after surgery was -0.32D. The average follow-up time was 9.2 months. Regarding complications, there were 3 cases of pupillary block, 3 cases of haptic extrusion, 2 cases of elevated IOP, and 1 case of calcification of the Soleko IOL.

In our experience, the Soleko FIL SSF is a valid solution for cases of aphakia or IOL dislocation of different etiologies. We recommend pondering this option when assessing which technique to offer a patient with the aforementioned diagnoses. The relatively low incidence of cystoid macular edema associated with this technique could be biased by the fact that some cases were referred to us after complicated cataract surgery with a posterior capsule rupture. Most of the other reported complications could be managed without further surgical treatment, except for a case of IOL calcification and one case of haptic extrusion. And most importantly, the final average spherical equivalent was within +-0.5D of emmetropia.