Sutureless Trans-Scleral Carlevale Iol Fixation: A Consecutive Case Series, Indications, Complications And Functional Results.
Published 2024 - 42nd Congress of the ESCRS
Reference: PO431 | Type: Free paper | DOI: 10.82333/3qek-z030
Authors: Ludovica Reda* 1 , Antonio Ciardella 2 , Chiara Veronese 2 , Carlo Torrazza 2 , Gian Luca Laffi 2
1Ophthalmology,University of Salerno,Salerno,Italy;Ophthalmology,IRCCS Sant'Orsola ,Bologna,Italy, 2Ophthalmology,IRCCS Sant'Orsola ,Bologna,Italy
Purpose
To assess visual outcome and complications of the technique of sutureless scleral fixation (SSF) using a single-piece foldable acrylic intraocular lens (IOL-Carlevale)
Setting
There are two types of techniques of scleral fixation, Sutured scleral fixed IOL and Suturless scleral fixation IOL.
The Sutured scleral fixed IOLs present long-term complications like suture brekeage, IOL tilting, IOL damaging and displacement.
The Carlevale IOL, that is a Suturless scleral fixation IOL, has got unique stability features.
Technique of scleral fixation (SF)
Technique of scleral fixation (SF
Technique of scleral fixation (SF)
Technique of scleral fixation (SF)
Methods
This is a retrospective observational, consecutive study conducted revising patients charts from 2020 to 2023. There were included 54 eyes of 54 patients who underwent 25- or 23-gauge pars plana vitrectomy with Carlevale IOL implantation for an IOL subluxation/luxation, lens dislocation, aphakia, or UGH Syndrome. Pre-operative and post-operative visual status and complications during and after surgery were recorded.
Results
The mean follow up was 7,4 ± 7,0 months(range 1-30 months). Mean pre-operative corrected distance visual acuity was 0,77 ± 0,61 logMAR (range 0-2 logMAR) and mean post-operative corrected distance visual acuity was 0,42 ± 0,54 logMAR (range 0-2 logMAR). Nine (22,2%) experienced cystoid macular edema, 5 (9,25%)vitreous hemorrhage, 4 (7,4%) intraocular hypertension, 4 (7,4%) reactivation of maculopathy, 2 (3,7%) retinal detachment, 1 (1,8%) dialysis of the iris , 1 (1,8%) iridocorneal angle closure, 1 (1,8%) lamellar macular hole. IOL dislocation, conjunctival erosion, and plug externalization were not observed in any eye during the follow-up.
Conclusions
This report enriches our knowledge about outcomes and complications of this surgical technique. Scleral fixation Carlevale IOL has become our first choice for aphakia correction when there is no capsular support available.