Special IOL Fixation Techniques

  • Ulrich Spandau
  • Gabor Scharioth


The benefits of an iris-claw IOL implantation are a short surgical time, a sutureless implantation, an excellent centration without risk of tilting and a short learning curve (approx. 5 surgeries). The disadvantage is that the IOL is fixated into the iris tissue, and a too traumatic implantation may lead to an inflammation. This postoperative inflammation with cellular proliferation of the IOL is induced by macrophages. This occurs, however, only in the learning curve. In addition, sufficient iris tissue is required for implantation. See Sect. 5.1.


Corneal Incision Short Learning Curve Scleral Flap Anterior Vitrectomy Scleral Tunnel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 5.14

IOL extraction and implantation of an iris-claw IOL 1 (MP4 81263 kb)

Video 5.15

Iris-claw implantation and artificial pupil IOL (MP4 82377 kb)

Video 5.16

Subluxated IOL operated with one trocar (MP4 117612 kb)

Video 5.17

Intrascleral fixation: aphakia (MP4 21849 kb)

Video 5.18

Intrascleral fixation with DORC forceps 1 (MP4 20904 kb)

Video 5.19

Intrascleral fixation DORC forceps 2 (MP4 67889 kb)

Video 5.20

Scleral fixation of a luxated IOL (MP4 31353 kb)

Video 5.21

Scleral fixation of IOL (MP4 11473 kb)

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Gabor Scharioth
    • 2
    • 3
  1. 1.Department of OphthalmologyUppsala University HospitalUppsalaSweden
  2. 2.Aurelios AugenzentrumRecklinghausenGermany
  3. 3.Department of OphthalmologyUniversity of SzegedKorányiGermany

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