Scleral fixation of a single-piece foldable acrylic IOL through a 1.80 mm corneal incision

• Published in: Journal of cataract and refractive surgery Vol. 46; no. 5; pp. 662 - 666
• Main Authors: Veritti, Daniele, Grego, Lisa, Samassa, Francesco, Sarao, Valentina, Lanzetta, Paolo
• Format: Journal Article
• Language: English
• Published: United States 01-05-2020
• Subjects: Acrylic Resins; Aged; Aged, 80 and over; Cornea - surgery; Female; Humans; Lens Implantation, Intraocular - methods; Lenses, Intraocular; Male; Microsurgery - methods; Middle Aged; Pseudophakia - physiopathology; Retrospective Studies; Sclera - surgery; Suture Techniques; Visual Acuity - physiology
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1097/j.jcrs.0000000000000138

A new scleral fixation technique of a single-piece acrylic foldable intraocular lens (IOL) (enVista MX60, Bausch & Lomb, Inc.) through a 1.80 mm corneal incision, using the IOL eyelets as anchoring point, is described. It was a retrospective review of 26 cases. The preoperative mean corrected distance visual acuity was 0.51 ± 0.21 logarithm of the minimum angle of resolution (logMAR). It improved significantly to 0.25 ± 0.27 logMAR (P < .01), 0.18 ± 0.16 logMAR (P < .01), and 0.17 ± 0.16 logMAR (P < .01) (at 1 month, 3 months, and 6 months postoperatively, respectively, repeated measures analysis of variance, P < .0001). No astigmatism increase of more than 0.75 diopters was recorded at any time point. In all 26 patients, the IOL was well centered and stable for the entire monitoring period. No complications were observed during follow-up. Scleral fixation of the foldable IOL through a 1.80 mm corneal incision provided excellent IOL stability during the 6-month follow-up of this study and might be an effective and safe surgical technique.