A review of techniques and challenges in performing sutureless intrascleral fixation of intraocular lens

ABSTRACT

Introduction

To insert and fix the intraocular lens (IOL) after damage due to any reason in the capsular bag and zonular fibers, different strategies of sutureless intrascleral IOL fixation have been portrayed. In all of these methods, IOL haptics are fixed in the sclera. While some surgeons utilize scleral flaps, other surgeons make use of scleral tunnels with the aim of the fixation of haptics.

Areas Covered

To evaluate techniques and challenges in performing sutureless intrascleral fixation of intraocular lens methods, A PubMed-based search was carried out using the terms “sutureless scleral fixated IOL’, ‘sutureless intrascleral fixated IOL,’ ‘sutureless scleral fixation IOL,’ and ‘sutureless intrascleral fixation IOL.’

Expert Opinion

The aim of surgical methods has covered the implantation of secondary IOL, correction of the aphakia. Previous studies suggest that these new methods have acceptable results in the short term; however, further studies involving additional examples with longer observation periods are needed to determine whether these new methods have successful outcomes in the long term.

KEYWORDS:

• Intraocular lens
• scleral fixation
• sutureless
• sutureless intrascleral fixation
• sutureless scleral fixation

Article highlights

• There have been different strategies of sutureless intrascleral IOL fixation.

• IOL haptics are fixed in the sclera by using scleral flaps or scleral tunnels.

• Needle or trocar can be used to enter the sclera.

• The stabilization of the IOLs is achieved by the scar tissue formed around the haptics.

Generally, three-piece foldable IOLs are used.

Declaration of interest

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

Reviewer disclosures

Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Additional information

Funding

This paper was not funded.