Novel technique of sutureless glueless intrascleral fixation of single piece intraocular lens

Abstract

Aim: To report single centre results of sutureless intrascleral fixation of single piece posterior chamber Intraocular Lens (IOL) Methods: In this prospective study, 50 cases were evaluated. Preoperative & post-operative visual acuity, Slit lamp & Fundus examination, Applanation tonometry, Keratometry, Biometry, Optical Coherence Tomography (OCT), Scheimpflug imaging was done for extensive evaluation. Results: All IOLs were successfully implanted at desired position without intraoperative complications. Postoperative complications included corneal edema (2), raised Intraocular Pressure (IOP) (3), Cystoid macular edema (1) & decentration (2). All were managed to the level of good visual recovery. Surgery video were retrospectively evaluated in cases of post-operative complications. There was no significant change in corneal astigmatism. Conclusion: After extensive 6 month follow up with evaluation of variety of parameters, our technique of sutureless, glueless scleral fixation of IOL using single piece IOL has shown favorable results and a potential option in visual rehabilitation.