Journal of cataract and refractive surgery | 2021
Ab externo approach to treat bilateral haptic extrusion secondary to scleral erosion of an intrascleral suture-less fixated Carlevale intraocular lens: Repositioning of intrascleral suture-less fixated IOL.
Abstract
Surgical management of haptic extrusion of an intrascleral suture-less fixated Carlevale intraocular lens (IOL) (FIL-SSF Carlevale lens, Soleko, Italy) by repositioning the IOL without lens extraction was reported.The patient presented an early extrusion of both IOL harpoons just 4 weeks after the initial surgery. New scleral flaps were created 30° superior to the nasal harpoon and 30° inferior to the temporal harpoon, so the IOL was rotated clockwise. Each haptic was grasped with a 25G forceps and introduced into the vitreous cavity and regrasped with another forceps through a new port, 1.5 mm posterior to the limbus, and underneath a new scleral flap.The Carlevale lens is a specially designed IOL for suture-less intrascleral fixation with excellent anatomic and visual results but may also show specific complications. To our knowledge, this is the first report how to efficiently manage harpoon erosion using this simple technique.