Mastering Sutureless Cannula-Based Scleral IOL Fixation

Author: Christina Weng (United States)

Co-authors:

Purpose

To share surgical tips for scleral-fixation of intraocular lens implant using a sutureless trocar-based technique.

Setting/Venue

Applies to any patient who needs an intraocular lens (IOL), but does not have sufficient capsular support.

Methods

Narrated video.

Results

Previous techniques for scleral fixation of an intraocular lens (IOL) could be cumbersome and affected by suture erosion or IOL dislocation. More recently, Dr. Shin Yamane described a sutureless approach where the IOL is secured within the scleral walls by flanging the haptic tips. This video shows step-by-step one effective and efficient modification of his sutureless scleral-fixation technique where the haptics are externalized through trocar cannulae rather than needles.

Conlusions

Sutureless scleral-fixation of intraocular lenses can be perceived as technically challenging, but this modified trocar-based approach is an efficient option for vitreoretinal surgeons.

Financial Disclosure

Alcon, Alimera Sciences, Allergan/AbbVie, Novartis, Regeneron, REGENXBIO, DORC, Genentech (consultant for all)