A Novel Modified Flapless Surgical Technique For Sutureless Scleral Fixation Of Fil Ssf Intraocular Lens: A Retrospective Case Series
Published 2023 - 41st Congress of the ESCRS
Reference: PO0463 | Type: Free paper | DOI: 10.82333/s9b9-zp60
Authors: Danilo Iannetta 1 , Marc D. de Smet 2 , Simone Febbraro 1 , Nicola Valsecchi* 1 , Antonio Moramarco 1 , Luigi Fontana 1
1IRCCS Azienda Ospedaliero- Universitaria di Bologna : Bologna, Emilia Romagna, IT,Bologna,Italy, 2Helvetia Retina Associates, Micro Invasive Ocular Surgery Center, Av du L ́eman 32, Lausanne, Switzerland,Lausanne,Switzerland
Purpose
To report two variations of a novel modified flapless surgical technique in patients who underwent implantation of Soleko FIL-SSF lens.
Setting
Ophthalmology Unit, S.Orsola Malpighi Hospital University Hospital, Bologna, Italy
Methods
Thirteen eyes of thirteen consecutive patients requiring secondary IOL implant were evaluated, with a three-month minimum follow-up.
The variation to the standard surgical technique was represented by the creation of two ⅓ thickness scleral grooves, instead of the typical partial thickness scleral flaps. The two anchors of the FIL-SSF lens were positioned in the grooves, avoiding any exposure.
The conjunctival was closed with 8-0 vicryl suture or equivalent, making sure that the anchors were well covered.
Results
Mean age of patients was 70 ± 14,8 years, with average preoperative visual acuity of 1,2 ± 0,8 LogMAR . No intraoperative complications occurred. Anatomical success was achieved in all patients. Three months after surgery, mean visual acuity was 0,87 ± 0,77 LogMAR. Transient IOP elevation was reported in 3/13 (23,1%) patients and cystoid macular edema was observed in 1/13 (7,7%) patients during postoperative follow-up. No other complications, such as conjunctival erosion, were reported.
Conclusions
Flapless surgical technique for Soleko FIL-SSF IOL implantation has shown to be safe and effective as the standard technique, revealing shorter surgical time.