SUTURELESS FOLDABLE INTRA-SCLERAL-FIXATED IOLS (WITH ‘T’ SHAPED HAPTICS) IN EYES WITH INADEQUATE ZONULO-CAPSULAR SUPPORT.
Published 2024 - 28th ESCRS Winter Meeting
Reference: FP72 | Type: Submission | DOI: 10.82333/gv94-5w49
Authors: Anju Rastogi 1 , Kashish Garg* 1 , Meghna Sethi 1 , Umesh Sharma 1 , Siddharth Baindur 1
1GURU NANAK EYE CENTRE,NEW DELHI,India
Purpose
Eyes with surgical aphakia or high degree of ectopia lentis have inadequate zonulo-capsular support. Thus, in-the-bag or ciliary sulcus implantation of the IOL is not possible. Implantation of Sutureless Foldable Scleral-Fixated IOL (with ‘T’ shaped haptics) in such eyes provides significant gain in UCVA.
Setting
Non-randomized, prospective interventional study
Methods
6 month, non-randomized, prospective study evaluating visual acuity, IOL tilt and decentration following implantation of Sutureless Foldable Scleral-Fixated IOLs in 21 eyes with inadequate zonulo-capsular support (eyes having surgical aphakia or high degree of ectopia lentis).
Results
UCVA improved from logMAR 1.49 ± 0.33 (range : 0.78 - 1.78) to logMAR 0.63 ± 0.31 (range : 0.18 - 1.18) after implantation of Sutureless Foldable Scleral-Fixated IOLs with mean IOL tilt of 4.56° and mean decentration 0.36 mm. UCVA before surgery was worse than 20/200 in 85% of eyes. Post-operatively, UCVA was better than or equivalent to pre-operatively determined BCVA in 90% of eyes. After IOL implantation, UCVA was 20/60 or better in 38% of eyes and 20/200 or better in 85% of eyes.
Conclusion
At 6 months, Sutureless Foldable Scleral-Fixated IOL implantation, in eyes with inadequate zonulo-capsular support (where implantation of in-the-bag IOLs is not possible), provides significant gain in UCVA with minimal IOL tilt and decentration while avoiding the suture related complications of sutured SF-IOLs.