Multifocal Intraocular Lens Placement In The Sulcus During Refractive Lens Exchange: A Case Series
Published 2025 - 43rd Congress of the ESCRS
Reference: PO426 | Type: Free paper | DOI: 10.82333/8x81-k010
Authors: Ivan Gabric* 1 , Karla Bodakoš 2 , Mateja Jagic 2 , Alma Biščević 2 , Maja Bohač 2
1Refractive surgery,Eye Clinic Svjetlost,Zagreb,Croatia;Refractive surgery,Eye Clinic Svjetlost,Zagreb,Croatia, 2Refractive surgery,Eye Clinic Svjetlost,Zagreb,Croatia
Purpose
Posterior capsular rupture presents a challenge in refractive lens procedures, as most multifocal IOLs are not designed for sulcus placement. This study evaluates refractive outcomes of a multifocal IOL that was designed to be placed in the bag but can be placed in the sulcus due to haptic angulation. Here we report the results of 5 eyes in which this lens was placed in the sulcus.
Setting
Private refractive surgery clinic, the Netherlands.
Methods
This diffractive, one-piece hydrophilic IOL with 5-degree posterior angulation serves as both a primary and backup option. Between 2008 and 2023, five eyes from four male patients (aged 36–59) required sulcus placement following RLE. Two eyes received the Intensity SL MF IOL, and three received the SeeLens MF IOL. Indications included posterior capsular rupture (three eyes) and capsular contraction syndrome in nanophthalmos (two eyes). Sulcus placement was performed during primary surgery in two eyes, as a secondary procedure in one, and to correct hypermetropization in two eyes with capsular contraction.
Results
Postoperative uncorrected and corrected distance visual acuities averaged 0.7 and 1.1, respectively. Mean postoperative refraction was S -0.25 C -0.45. One patient developed retinal detachment at eight months, which was successfully treated. All patients were satisfied post-repositioning.
Conclusions
Sulcus placement of the SeeLens MF or Intensity SL IOL is a viable option when necessary.