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Scleral-Fixated Intraocular Lenses: An Update on the Current Surgical Approaches

  • Ophthalmologic Surgery (K. Drenser, Section Editor)
  • Published:
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Abstract

In the past, the available surgical options for patients with a lack of capsulozonular support or aphakia were limited to placing an intraocular lens (IOL) in the anterior chamber, suturing an IOL to the iris, or suturing it to the sclera. The first two options involve leaving the IOLs in close proximity to the iris and the cornea and are not ideal for patients with compromised corneas, peripheral anterior synechiae, shallow anterior chambers, or glaucoma. Scleral-sutured IOL fixation allows the IOL to sit away from the cornea and closer to the nodal point of the eye, but the suture-related complications and the technically challenging nature of the surgery are unappealing. In recent years, with the advent of novel sutureless scleral fixation techniques, an increasing number of surgeons are adopting the sutureless techniques, such as the fibrin glue and the intrascleral tunnel IOL fixation techniques. We discuss the pros and cons as well as the preliminary results of these techniques as reported in the recent literature.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Duke Eye Center, 2351 Erwin Road, Durham, NC, 27710, USA

    Malav Joshi

  2. Retina Associates Southwest, 6561 East Carondelet Drive, Tucson, AZ, 85710, USA

    Mark K. Walsh

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  1. Malav Joshi
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  2. Mark K. Walsh
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Correspondence to Malav Joshi.

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This article is part of the Topical Collection on Ophthalmologic Surgery.

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Joshi, M., Walsh, M.K. Scleral-Fixated Intraocular Lenses: An Update on the Current Surgical Approaches. Curr Surg Rep 3, 11 (2015). https://doi.org/10.1007/s40137-015-0087-0

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  • DOI: https://doi.org/10.1007/s40137-015-0087-0

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