scholarly journals Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

2021 ◽  
Vol Volume 15 ◽  
pp. 2317-2325
Author(s):  
Matthew S Ward ◽  
Andrew C Hou ◽  
David A Murphy ◽  
Mason A Schmutz ◽  
Kamran M Riaz
Keyword(s):  
Corneal Astigmatism ◽  
Scleral Fixation ◽  
Capsular Support

Introduction of Corneal Astigmatism Through Placement of a Scleral Fixation Ring in Eye Bank Eyes

Cornea ◽  
2001 ◽  
Vol 20 (8) ◽  
pp. 864-865 ◽  
Author(s):  
Jay C. Rudd ◽  
Jeffrey Weis ◽  
Rafe Connors ◽  
Randall J. Olson
Keyword(s):  
Corneal Astigmatism ◽  
Eye Bank ◽  
Scleral Fixation

Scleral Fixation of Carlevale Intraocular Lens in Children: A Novel Tool in Correcting Aphakia With No Capsular Support

2021 ◽  
Vol 52 (2) ◽  
pp. 94-101
Author(s):  
Stratos Gotzaridis ◽  
Ilias Georgalas ◽  
Evangelia Papakonstantinou ◽  
Dimitrios Spyropoulos ◽  
Agathi Kouri ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Scleral Fixation ◽  
Capsular Support

scholarly journals Scleral fixation of a dexamethasone intravitreal implant in a case of subluxated bag–intraocular lens complex

2019 ◽  
Vol 11 ◽  
pp. 251584141985652
Author(s):  
Carlos M. Rangel ◽  
Nathalia J. Moreno ◽  
M. Margarita Parra
Keyword(s):  
Macular Edema ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Corneal Edema ◽  
Conventional Technique ◽  
Endothelial Damage ◽  
Scleral Fixation ◽  
Surgical Tool ◽  
Number Of Patients ◽  
Capsular Support

Macular edema is a condition of retinal tissue treated with anti-inflammatory agents including placement of an intravitreal sustained-release dexamethasone device, designed to deliver a controlled amount of the medication for a prolonged time, representing an excellent therapy. Nonetheless, the implantation cannot be carried out without an anatomical barrier, such as the presence of posterior capsular support, lens, or intraocular lens. The absence of these barriers could lead to several complications, due to migration of the device from the vitreous cavity to the anterior chamber, causing corneal endothelial damage, corneal edema, glaucoma, and uveitis, among others. In consequence, a large number of patients cannot be treated with this useful surgical tool, resulting in chronicity of macular edema and severe visual acuity impairment. Therefore, we modified the conventional technique, through scleral fixation of the device providing a continuous delivering of dexamethasone, avoiding its migration to the anterior chamber in a patient without capsular support.

Scleral fixation of an intraocular lens in the absence of capsular support

1997 ◽  
Vol 23 (5) ◽  
pp. 795-797 ◽  
Author(s):  
Fernando Trimarchi ◽  
Massimo Stringa ◽  
Giorgio Vellani ◽  
Maria Silvia Iato
Keyword(s):  
Intraocular Lens ◽  
Scleral Fixation ◽  
Capsular Support

Evaluation of a new IOL scleral fixation technique without capsular support

2006 ◽  
Vol 29 (10) ◽  
pp. 1110-1117 ◽  
Author(s):  
M. Monteiro ◽  
A. Marinho ◽  
S. Borges ◽  
L. Ribeiro ◽  
C. Correia
Keyword(s):  
Fixation Technique ◽  
Scleral Fixation ◽  
Capsular Support

scholarly journals Sutureless, Glueless, Scleral Fixation of Single-Piece and Toric Intraocular Lens: A Novel Technique

2015 ◽  
Vol 6 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Aditya Kelkar ◽  
Rachana Shah ◽  
Jai Kelkar ◽  
Shreekant Kelkar ◽  
Ekta Arora
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Pigment Dispersion ◽  
Toric Intraocular Lens ◽  
Scleral Fixation ◽  
Novel Technique ◽  
Single Piece ◽  
Intraocular Hemorrhage ◽  
Elevated Intraocular Pressure ◽  
Capsular Support

Sutureless, glueless, scleral fixation of an intraocular lens is a known technique of fixing a lens in the scleral pockets. However, this technique is applied to single-piece and toric lenses instead of 3-piece lenses, allowing the advantage of the use of premium lenses in patients with poor capsular support. Favourable results without complications of pigment dispersion, iris transillumination defects, dysphotopsia, elevated intraocular pressure, intraocular hemorrhage and cystoid macular edema with a well-centered, stable intraocular lens have been observed in the 3-month postoperative period in both cases.

Scleral fixation of Carlevale intraocular lens: A new tool in correcting aphakia with no capsular support

2021 ◽  
pp. 112067212199297
Author(s):  
Ilias Georgalas ◽  
Dimitrios Spyropoulos ◽  
Stratos Gotzaridis ◽  
Evangelia Papakonstantinou ◽  
Stylianos Kandarakis ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Vitreous Hemorrhage ◽  
Inclusion Criteria ◽  
Scleral Fixation ◽  
Post Operative Period ◽  
Transient Rise ◽  
Pars Plana ◽  
Capsular Support ◽  
Scleral Fixated Intraocular Lens

Purpose: To report the clinical outcomes of the use of a novel specially designed scleral fixated intraocular lens, the Carlevale intraocular lens (carlevale IOL, Soleko, Italy) for the correction of aphakia in the absence of capsular support of variable etiology. Methods: This retrospective, non-comparative study included 169 eyes of 169 consecutive patients who underwent 3-port pars plana vitrectomy and scleral fixation on Carlevale IOL. Inclusion criteria were at least 6 months’ follow-up period, patients > 18 years old who underwent vitrectomy and Carlevale IOL placement for aphakia and inadequate capsular support Results: The median follow up period of 9 months (range 6–18 months). Mean post-operative BCVA at the last follow-up visit was 20/25 (0.09 ± 0.1 LogMAR), improving from a mean baseline BCVA of 20/80 (0.58 ± 0.49 LogMAR), a statistically significant change ( p = 0.0001). Regarding the post-operative complications, a transient rise in the IOP was observed in 28 patients (16.5%) and mild vitreous hemorrhage was observed in the immediate post-operative period in eight eyes (4.7%) and it spontaneously resolved within 3 weeks. All patients demonstrated good IOL position at the end of the follow-up without IOL capture. None of the patients required re-operation. Conlcusion: The present study represents the largest to date in evaluating the use of carlevale IOL in patients with aphakia and inadequate capsular support. The technique is safe and provides excellent post-operative IOL fixation without IOL capture in any of the patients studied.

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