Two double flanged versus four flanged in scleral fixated IOL: A descriptive study-Reference-Cited by-同舟云学术

Two double flanged versus four flanged in scleral fixated IOL: A descriptive study

Published:2020-11-27 Issue:2 Volume:3 Page:1-6
ISSN:
Container-title:Edorium Journal of Ophthalmology
language:en
Short-container-title:Edorium J Ophthalmol

Author:

Ade Sitanaya George¹,Phoaniary Ronald¹,Furqani Ibrahim Dian²

Affiliation:

1. Ophthalmology Department, RSUD Tenriawaru Hospital, Bone, South Sulawesi, Indonesia

2. Cerebellum Clinic, Makassar, South Sulawesi, Indonesia

Abstract

Aims: To describe a new method for scleral fixated intraocular lens (IOL) and to report its long-term follow-up. This study also shows the comparison of the new method with the current popular method that is four flanged scleral fixated IOL. Method: Six patients who underwent the new method (two double flanged IOL) and 6 patients underwent four flanged scleral fixated IOL. Postoperative data was collected and recorded, such as visual acuity, intraocular pressure, anterior chamber activity, sign of IOL decentration/tilting and subjective complaints from the patients. Follow-up was done for 4–8 weeks. Result: Among the first group (two double flanged IOL) the mean visual acuity are 0.28 and 0.34 [uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA)]. The second group (four flanged IOL) the mean visual acuity are 0.29 and 0.35 (UCVA and BCVA). There is no (0%) IOL decentration of both the groups during the follow-up period. No significant anterior chamber reaction was found in both groups. Conclusion: The two double flanged IOL can be used as alternative method for intrascleral IOL fixation. It provides good long-term stabilization, no need for specific IOL, or any hard to obtain material.

Publisher

Edorium Journals Pvt. Ltd.

Reference11 articles.

1. Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 2017;124(8):1136–42.

2. Hoffman RS, Fine IH, Packer M. Scleral fixation without conjunctival dissection. J Cataract Refract Surg 2006;32(11):1907–12.

3. Agarwal A, Kumar DA, Jacob S, Baid C, Agarwal A, Srinivasan S. Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refract Surg 2008;34(9):1433–8.

4. Kim KH, Kim WS. Comparison of clinical outcomes of iris fixation and scleral fixation as treatment for intraocular lens dislocation. Am J Ophthalmol 2015;160(3):463–9.e1.

5. Canedo AC, Rezende AC, Rezende PH, Canabrava S, Halabi N. Four-flanged intrascleral IOL fixation technique: Where are we? Ocular Surgery News. 2019. [Available at: https://www.healio.com/news/ophthalmology/20190730/fourflanged-intrascleral-iol-fixation-technique-where-are-we]