Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Apr;39(4):527-528.
doi: 10.1097/ICO.0000000000002185.

Four-Flanged Intrascleral Intraocular Lens Fixation Technique: No Flaps, No Knots, No Glue

Sergio Canabrava  1 , Ana Carolina Canêdo Domingos Lima  1 , Guilherme Ribeiro  2
Affiliations

Four-Flanged Intrascleral Intraocular Lens Fixation Technique: No Flaps, No Knots, No Glue

Sergio Canabrava et al. Cornea. 2020 Apr.

Abstract

Purpose: To develop a novel, sutureless, single-piece, nonfoldable intraocular lens (IOL) intrascleral fixation technique based on the existing Malbran IOL scleral fixation and Yamane double-needle techniques.

Methods: The novel method uses a 5.0 polypropylene suture and a bipolar cautery to create 2 flanges in the eyelets of the IOL and 2 flanges outside to insert inside the scleral tunnel and thus fixate the IOL.

Results: This technique had been applied in 4 patients with aphakia after phacoemulsification complications. The mean preoperative and postoperative corrected distance visual acuities were 0.45 ± 0.17 and 0.67 ± 0.27 (Snellen decimal units), respectively.

Conclusions: The 4-flanged technique improves and simplifies the existing single-piece, nonfoldable IOL intrascleral fixation techniques.

PubMed Disclaimer

References

    1. Malbran ES, Malbran E Jr, Negri I. Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction. Int Ophthalmol. 1986;9:151–160.
    1. Lewis JS. Ab externo sulcus fixation. Ophthalmic Surg. 1991;22:692–695.
    1. Cavallini GM, Volante V, De Maria M, et al. Long-term analysis of IOL stability of the Lewis technique for scleral fixation. Eur J Ophthalmol. 2015;25:525–528.
    1. Vote BJ, Tranos P, Bunce C, et al. Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation. Am J Ophthalmol. 2006;1412:308–312.
    1. Yamane S, Sato S, Maruyama-Inoue M, et al. Flanged intrascleralintraocular lens fixation with double-needle technique. Ophthalmology. 2017;124:1136–1142.

Publication types

LinkOut - more resources