Official ESCRS | European Society of Cataract & Refractive Surgeons


Results of surgical aphakia correction with Gore-Tex scleral four-point fixation of an injected hydrophobic acrylic intraocular lens through a sutureless incision

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Session Details

Session Title: Cataract Surgery Complications

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

Paper Time: 16:42

Venue: Free Paper Forum: Podium 2

First Author: : M.Astete CHILE

Co Author(s): :    T. González   M. Perez   M. Ramirez   A. Rimassa                    

Abstract Details


To describe a novel technique for the surgical management of aphakia


Hospital del Salvador, Universidad de Chile, Santiago de Chile


We describe the results of this technique for the surgical management of aphakia. It involves the injection of a foldable hydrophobic acrylic intraocular lens, which haptics have been pre-threaded with Gore-Tex, through a 2.4 – 2.75 mm incision. The lens is then secured to the scleral wall of the eye through two pair of opposing sclerotomies at the sulcus level


We registered 25 patients from January 2017 to August 2018, which mean age was 42 years (range 4 – 85 years old) and mean following time was 4.5 months. We clasified the aphakia cases in post-trauma cases (60%) o non traumatic cases (40%). 85% patients gained 2 or more lines of best corrected visual acuity and 15% (3 cases) kept or lost visual acuity. We had 5 cases of postoperatory complications: 3 cases of cystic macular edema, 2 cases of IOL tilt and 1 case of persistent uveitis.


This technique provides excellent tilt and torque control due to its 4-point fixation at the same horizontal plane, maintains a sutureless incision similar to phacoemulsification surgery, with very low induced astigmatism, and allows for centration fine-tuning using the Purkinje reflexes, even after the implantation has been completed. We have standardized this surgical technique for the past 2 years for aphakia correction, ranging from post-trauma cases, lensectomies and complicated cataract surgeries without capsular support. We believe this to be a very safe and effective technique for the surgical management of aphakia with a very flat learning curve

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