Scleral-Fixated Intraocular Lenses

Author:

Stem Maxwell S.1,Todorich Bozho1,Woodward Maria A.2,Hsu Jason3,Wolfe Jeremy D.1

Affiliation:

1. Associated Retinal Consultants, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA

2. W. K. Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA

3. Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA

Abstract

Intraocular lenses (IOLs) can have inadequate support for placement in the capsular bag as a result of ocular trauma, metabolic or inherited conditions such as Marfan syndrome or pseudoexfoliation, or complicated cataract surgery. Surgical options for patients with inadequate capsular support include alternative placement of the IOL in the anterior chamber, fixation to the iris, or fixation to the sclera. The surgical techniques for each of these approaches have improved considerably over the last several decades resulting in improved visual and ocular outcomes. If no capsular or iris support exists, the surgeon can fixate an IOL to the sclera or the patient can remain aphakic. IOLs can be fixated to the sclera using sutures or by tunneling the IOL haptics into the sclera without sutures. This review summarizes the preoperative considerations, surgical techniques, outcomes, and unique complications associated with implantation of scleral-fixated IOLs.

Publisher

SAGE Publications

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