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Modified suture fixation technique for scleral fixated intraocular lenses: outcomes of 120 cases

Poster Details

First Author: A.Mete TURKEY

Co Author(s):    S. Kimyon   O. Saygili   K. Gungor              

Abstract Details


To demonstrate a modified suture fixation technique for scleral fixated intraocular lenses (SFIOL) in eyes with no or insufficient capsular support and compare the results of primary and secondary surgeries.


Gaziantep University Hospital, Ophthalmology Department, Gaziantep, Turkey


We analyzed retrospectively 120 patients who underwent primary or secondary SFIOL implantation using a modified suture fixation technique . This technique didn�â�€�™t require to create a scleral flep or tunnel. We buried the knot directly into the scleral opening which was formed by curved-needle of the PC-9 closed loop suture and slightly enlarged by the tip of a 20-gauge blade. Visual outcomes and complications were evaluated. A video will be demonstrated during the presentation.


We performed 45 primary and 75 secondary SFIOL implantations. Preoperative mean LogMAR visual acuity were 1,12�Â�±0,41 in primary group and 1,13�Â�±0,30 in secondary group, respectively. Postoperative mean LogMAR visual acuity were 0,57�Â�±0,32 in primary group and 0,64�Â�±0,34 in secondary group. In early postoperative period; complications occurred in 20 (44,4%) eyes in primary group and in 14 (18,7%) eyes in secondary group. Late postoperative complications were observed in 11 (24,4%) eyes and 10 (13,3%) eyes in primary and secondary group, respectively. There wasn't any statistically significiant difference between groups regarding the incidence of late postoperative complications.


Our modified suture fixation technique appears to display a comparable effectiveness and safety compared to existing scleral-fixation techniques.

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