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A 1-year prospective comparative study of sutureless flanged intraocular lens fixation and conventional sutured scleral fixation in intraocular lens dislocation

Ophthalmologica Apr 10, 2020

Do JR, et al. - In patients with intraocular lens (IOL) dislocation, researchers conducted this prospective comparative cohort study to compare surgical outcomes of sutureless flanged intraocular lens (IOL) fixation and conventional sutured scleral fixation (SF) for secondary IOL implantation. The sample consisted of 103 all consecutive individuals (103 eyes) with IOL dislocation who had vitrectomy with IOL removal and sutured SF (53 eyes) or flanged IOL fixation (50 eyes). According to results, the operating time in the flanged IOL fixation was significantly shorter than in the sutured SF.Sutured SF and flanged IOL fixation had comparable visual results and IOL stability in dislocated IOL repositioning. The operating time for flanged IOL fixation, however, was less than half that of the sutured SF.Therefore, this technique may be an effective alternative to treating IOL dislocation.

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