Scleral Fixation Of Modified Toric Plate-Haptic Intraocular Lens
Published 2025 - 43rd Congress of the ESCRS
Reference: PO289 | Type: Free paper | DOI: 10.82333/5w4n-0k67
Authors: Soyang Ella Kim* 1 , Shafi Balal 1 , Omer Jamall 2 , Imran Karim Janmohamed 3 , Ibtesham Hossain 2 , Rohan Hussain 2 , Gabriele Gallo Afflitto 2 , Vincenzo Maurino 1
1External Eye Disease,Moorfields Eye Hospital,London,United Kingdom, 2Moorfields Eye Hospital,London,United Kingdom, 3Eye Department,Maidstone Hospital,Maidstone,United Kingdom
Purpose
To report clinical experience with a modified toric plate-haptic lens (Vistor, Hanita Lenses) in eyes with no capsular support.
Setting
Ein-Tal Eye Center, Tel Aviv, and the Meir Medical Center, Kfar-Saba, Israel
Methods
The commercial Vistor lens design was modified by adding two positioning holes in the lens haptic to facilitate lens manipulations. The additional holes were used for 4-point scleral fixation in eyes with no capsular support. Prolene 6-0 sutures were inserted through the sclera and threaded through the 2 holes in each IOL haptic. Four-point fixation was achieved by creation of 4 external flanges.
Results
Sixteen lenses were implanted in 12 patients with no capsular support.. The final position of the PC-IOL was 5o or less from intended axis in 87% of the patients. UCVA and BCVA were 6/9 or better in 50% and 93%, respectively. No tilt was noted post operatively. One patient required repositioning of the sutured lens
Conclusions
Four-point fixation of a plate haptic IOL design provides a precise and stable IOL positioning with no tilt. This can be an optimal design for IOLs designated for scleral fixation in eyes with no capsular support.