Evaluating The Efficacy Of Novel Triangle Suture Technique In Scleral-Fixated Intraocular Lens

The study aims to evaluate the efficacy and safety of a novel Triangle Suture Technique for the surgical placement of Scleral-Fixated Intraocular Lenses (SFIOLs). This technique addresses the challenges associated with inadequate zonular support for Intraocular Lens (IOL) implantation, offering an alternative to traditional methods. Notably, the procedure is significantly faster than traditional methods, reducing surgical time.

This retrospective study assessed the efficacy and safety of SFIOL implantation using 10-0 Polypropylene suture (Prolene; Ethicon, Inc). Visual acuity outcomes, intraocular pressure (IOP) control, and postoperative complications were evaluated. Data were collected from electronic medical records, including pre- and postoperative logMAR visual acuity, IOP measurements, and complications. Statistical analyses were performed to determine the significance of the outcomes.

This retrospective study assessed the efficacy and safety of SFIOL implantation using 10-0 Polypropylene suture (Prolene; Ethicon, Inc). Visual acuity outcomes, intraocular pressure (IOP) control, and postoperative complications were evaluated. Data were collected from electronic medical records, including pre- and postoperative logMAR visual acuity, IOP measurements, and complications. Statistical analyses were performed to determine the significance of the outcomes.

The study included 53 eyes from 50 patients (mean age 65.4±10.2 years). Preoperative UCVA improved from 1.23±0.35 to 0.45±0.22 logMAR at 6 months (P<0.01), and BCVA improved from 0.89±0.28 to 0.32±0.17 (P<0.01). Complications included anterior segment issues in 11 eyes (20.75%) and posterior segment issues in 9 eyes (16.98%). IOL dislocation occurred non-recurrently in 44 eyes (77.36%), recurrently in 11 eyes (20.75%), and twice recurrently in 1 eye (1.89%). The Triangle Suture Technique was significantly faster than traditional methods.

The study demonstrates the efficacy and safety of the Triangle Suture Technique for SFIOL implantation, with significant improvements in visual acuity, manageable complications, and a faster surgical time compared to traditional methods. However, larger-scale studies are needed to further validate these findings and refine the technique.