Official ESCRS | European Society of Cataract & Refractive Surgeons


A two-year experience with a sutureless transconjunctival intrascleral IOL 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: 16:48

Venue: Free Paper Forum: Podium 2

First Author: : K.Matovic SLOVENIA

Co Author(s): :    V. Pfeifer                             

Abstract Details


To review indications, procedure, and outcomes of the sutureless transconjunctival intrascleral IOL fixation.


Eye Hospital, University Medical Centre of Ljubljana


A retrospective non-comparative analysis of consecutive patients, managed by sutureless intrascleral IOL fixation from January 2017 to December 2018. Chart data analysis revealed 32 patients, 34 eyes, that were operated at the University Eye Hospital of Ljubljana by one surgeon. In all the cases sutureless transconjunctival intrascleral IOL fixation was performed. Data analysed from medical records included: gender, age, indication, postoperative complication, functional and anatomical outcomes.


There were 19 male and 13 female patients, 14 to 92 years old, mean age 64 years. Indications included aphakia after cataract surgery in 18 eyes, where either traumatic cataract was removed or capsular rupture occured. Lens ectopia was an indication in three patients. In four cases IOL exchange was performed due to IOL opacification or its position in anterior chamber. Retinal detachment occurred in one patient, partial vitreous haemorrhage in three, iris capture in two and cystoid macular oedema in four patients. A tilt or an IOL optic decentration by more than 1 mm was present in five patients.


Transconjunctival scleral IOL fixation is an effective and minimally invasive surgical procedure in the absence of capsular or zonular support. It is a sutureless technique where no conjunctival opening is needed and the incision wound is smaller than 3.0 mm, by which surgically induced astigmatism is minimal.

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