Sutureless scleral-fixated intraocular lens: long-term outcomes

Abstract

Background: This study was performed to evaluate long-term outcomes of sutureless scleral-fixated intraocular lens implantation at a tertiary referral center. \nMethods: A retrospective observational analysis was performed on 50 consecutive patients who underwent sutureless scleral-fixated lens implantation by a single surgeon from January 2009 to December 2015. Indications for surgery were aphakia, dislocated intraocular lens (IOL) and lens with poor capsular support. Visual acuity, indication for surgery, ocular history, ocular comorbidities, intraoperative or postoperative complications and the need for further surgery were analysed. \nResults: The study analysed data of 50 eyes from 43 patients with a mean ± standard deviation (SD) follow-up of 16.64 ± 9.34 months. Of these 50 eyes, 38 agreed for a telephonic interview. Mean ± SD follow-up for these patients was 25.12 ± 4.56 months. Final visual acuity was 6/18 or better in 39 eyes. Intra-ocular lens was stable and well centred in 48 eyes. IOL dislocation was noted in 2 eyes, retinal detachment in one eye, and worsening of diabetic cystoid macular oedema in one eye. Two patients with pre-existing corneal decompensation from complicated cataract surgery had worsening of their condition. \nConclusions: Sutureless scleral fixated intraocular lens could be considered as a long-term option for the management of aphakia, dislocated intraocular lens and lens with poor capsular support. However, future studies with more subjects, longer follow-ups, and robust study design are needed to confirm the results of the present study.