Sutureless Intrascleral Fixated Intraocular Lens Implantation

Abstract

PURPOSE: To review sutureless intrascleral intraocular lens (IOL) fixation methods. METHODS: Review of published literature. RESULTS: Sutureless intrascleral IOL fixation methods are newer and have been developed to eliminate the suture-related complications of sutured scleral fixation methods such as suture-induced inflammation or infection and IOL dislocation or subluxation due to suture degradation or suture breakage. Sutureless intrascleral fixation methods aim for intrascleral haptic fixation to achieve stability of the IOL. Various methods of sutureless scleral fixation have been described. Using a needle, a blade, or a trochar, sclerostomies are created in all techniques for intraocular access. Some surgeons prefer to create scleral tunnels, whereas others use scleral flaps for scleral fixation of haptics. The stability of IOLs is attained by the scar tissue formed around the haptics. CONCLUSIONS: Short-term results of these new methods are acceptable; studies including more cases with longer follow-up are needed to determine their long-term success.