Official ESCRS | European Society of Cataract & Refractive Surgeons


Clinical outcome of iris vs scleral intraocular lens fixation

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Session Details

Session Title: Cataract Surgery Complications

Session Date/Time: Monday 16/09/2019 | 16:30-18:00

Paper Time: 16:36

Venue: Free Paper Forum: Podium 2

First Author: : S.Levy-Neuman ISRAEL

Co Author(s): :    O. Reitblat   A. Marcovich   A. Bukelman   G. Kleinmann                    

Abstract Details


To compare the safety and efficacy of scleral fixation of posterior chamber intraocular lenses (SFIOL) and iris fixation of posterior chamber intraocular lenses (IFIOL).


Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.


A retrospective chart review of 119 eyes of 113 patients that underwent SFIOL or IFIOL at Kaplan Medical Center between 2008 and 2018, and had at least 3 weeks of follow-up; eighty eyes had SFIOL and 39 eyes had IFIOL. The main outcome measures were: operation time, postoperative visual acuity, and intra and post-operative complications.


The mean operation time was similar for both groups. The mean follow-up time was significantly longer for IFIOL compared with SFIOL (34±31 vs. 13±19 months, respectively [P>0.001]). Postoperative corrected distance visual acuity (CDVA) at the last follow-up was significantly better than the preoperative CDVA in both groups (SFIOL: 0.54±0.51 vs. 1.20±0.85, [P<0.001], and IFIOL: 0.75±0.88 vs. 1.31±0.81 [P=0.001], respectively [LogMar]). No difference in DCVA was found between the groups. Irregular pupil was found in 59% IFIOL vs. 21.3% in SFIOL [P<0.001]). No other differences in complications were found between the groups.


IFIOL and SFIOL resulted both in a significant improvement in CDVA and showed similar complications rate except for ovalization of the pupil that was more common in the IFIOL group. Longer follow-up was noticed at the IFIOL group.

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