International Ophthalmology

, Volume 38, Issue 6, pp 2357–2361 | Cite as

Scleral fixated intraocular lens implantation with a modified Z-suture technique

  • Erdem DinçEmail author
  • Mustafa Vatansever
  • Özer Dursun
  • H. Görkem Markirt
  • Bahri Aydın
  • Ayça Yılmaz
  • Ufuk Adıgüzel
Original Paper



To evaluate visual outcomes and complications in scleral fixated intraocular lens (IOL) implantation with the modified Z-suture technique.

Materials and methods

Thirty-five eyes of 35 patients (20 male, 15 female) were included in the study. Patients underwent scleral fixated IOL implantation using the modified Z-suture technique and were followed in terms of visual acuity and complications.


Mean postoperative follow-up time was 12.46 ± 7.46 months. Mean best corrected visual acuity was 1.35 ± 0.91 logMAR preoperatively and 0.48 ± 0.39 logMAR postoperatively, and difference was statistically significant (p < 0.001). No suture-related complications were observed during follow-up in any of the patients. Slight infero-temporal dislocation of the IOL was observed at postoperative 5 months in one patient (2.85%) who experienced blunt trauma. It caused no optical disturbance, and repeated surgery was not advised. Transient intravitreal hemorrhage was observed in two patients (5.7%) who underwent combined scleral fixation and pupilloplasty.


The modified Z-suture technique is simple, fast, and was determined to be safe in terms of complications. However, long-term outcomes should be evaluated in larger patient groups.


Scleral fixation Z-suture Modified technique 


Compliance with ethical standards

Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.

Ethical standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Erdem Dinç
    • 1
    Email author
  • Mustafa Vatansever
    • 2
  • Özer Dursun
    • 3
  • H. Görkem Markirt
    • 1
  • Bahri Aydın
    • 4
  • Ayça Yılmaz
    • 1
  • Ufuk Adıgüzel
    • 1
  1. 1.Department of Ophthalmology, Faculty of MedicineMersin UniversityMersinTurkey
  2. 2.Ophthalmology ClinicToros State HospitalMersinTurkey
  3. 3.Ophthalmology ClinicMersin State HospitalMersinTurkey
  4. 4.Department of Ophthalmology, Faculty of MedicineGazi UniversityAnkaraTurkey

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