Use of the techniques of scleral and iris fixation in the secondary implantation of intraocular lenses

Gabriel Bezerra Castaldelli, Giulia de Carvalho Firmino, Volney Anderson Castaldelli, Rafael de Souza Costa, João Crispim Moraes Lima Ribeiro
2020 Ophthalmic Research  
Scleral and iris fixation of intraocular lenses (IOLs) are useful in the treatment of surgical or traumatic aphakia, luxation, and subluxation of IOLs if the patient does not present appropriate capsular support. However, there is no consensus in the literature about which of these two methods is safer and better. The authors performed a literature review searching the main postoperative outcomes obtained with the use of each surgical method. The scleral and iris fixation of IOLs are efficient
more » ... n the correction of the patients' visual acuity, even though each technique presents distinct complications, which depend especially on the experience of the surgeon with the performed surgical method. It is important to understand that individuals submitted to scleral or iris fixation present previous preoperative complications in their eyes. Besides, both procedures are very complex, involving intense manipulation of the eye globe. The success rate of these surgical techniques is highly variable and has a close relationship with the preoperative conditions of the patient's eye and the improvement of the surgeon's learning curve.
doi:10.1159/000507120 pmid:32163944 fatcat:jfbyj6shg5csfcupyatxh7zuqq