Intraoperative aberrometry-assisted refractive optimization of SFIOL
Scleral-fixated intraocular lens (SFIOL) is a widely used technique for IOL implantation in patients where capsular support is insufficient. Most surgeons have shifted away from sutured to sutureless SFIOL techniques where haptics of a multifocal IOL are inserted in scleral tunnels/flaps. Large-scal...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_751_24 |
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| author | Saurabh Verma Pradeep Venkatesh Shorya Vardhan Azad Devesh Kumawat Sudarshan Khokhar |
| author_facet | Saurabh Verma Pradeep Venkatesh Shorya Vardhan Azad Devesh Kumawat Sudarshan Khokhar |
| author_sort | Saurabh Verma |
| collection | DOAJ |
| description | Scleral-fixated intraocular lens (SFIOL) is a widely used technique for IOL implantation in patients where capsular support is insufficient. Most surgeons have shifted away from sutured to sutureless SFIOL techniques where haptics of a multifocal IOL are inserted in scleral tunnels/flaps. Large-scale publications have shown wide variation in the refractive status of eyes post-SFIOL even in the best of the hands. This is because even slight variations in the site of scleral flap/tunnel formation and tension on haptics due to the variable length of haptics placed in scleral flaps/tunnels can alter the effective lens position and induce significant residual refractive error, especially cylindrical astigmatism due to IOL tilt. Our technique aims to reduce residual refractive error after SFIOL implantation. This is achieved by using intraoperative aberrometry and adjusting haptics accordingly to achieve minimal refractive error intraoperatively. |
| format | Article |
| id | doaj-art-5082eb75d2b74b18aba999b94012d4de |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-5082eb75d2b74b18aba999b94012d4de2025-01-07T06:27:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-01-0173114915010.4103/IJO.IJO_751_24Intraoperative aberrometry-assisted refractive optimization of SFIOLSaurabh VermaPradeep VenkateshShorya Vardhan AzadDevesh KumawatSudarshan KhokharScleral-fixated intraocular lens (SFIOL) is a widely used technique for IOL implantation in patients where capsular support is insufficient. Most surgeons have shifted away from sutured to sutureless SFIOL techniques where haptics of a multifocal IOL are inserted in scleral tunnels/flaps. Large-scale publications have shown wide variation in the refractive status of eyes post-SFIOL even in the best of the hands. This is because even slight variations in the site of scleral flap/tunnel formation and tension on haptics due to the variable length of haptics placed in scleral flaps/tunnels can alter the effective lens position and induce significant residual refractive error, especially cylindrical astigmatism due to IOL tilt. Our technique aims to reduce residual refractive error after SFIOL implantation. This is achieved by using intraoperative aberrometry and adjusting haptics accordingly to achieve minimal refractive error intraoperatively.https://journals.lww.com/10.4103/IJO.IJO_751_24intraoperative aberrometryrefractive optimizationsfiol |
| spellingShingle | Saurabh Verma Pradeep Venkatesh Shorya Vardhan Azad Devesh Kumawat Sudarshan Khokhar Intraoperative aberrometry-assisted refractive optimization of SFIOL Indian Journal of Ophthalmology intraoperative aberrometry refractive optimization sfiol |
| title | Intraoperative aberrometry-assisted refractive optimization of SFIOL |
| title_full | Intraoperative aberrometry-assisted refractive optimization of SFIOL |
| title_fullStr | Intraoperative aberrometry-assisted refractive optimization of SFIOL |
| title_full_unstemmed | Intraoperative aberrometry-assisted refractive optimization of SFIOL |
| title_short | Intraoperative aberrometry-assisted refractive optimization of SFIOL |
| title_sort | intraoperative aberrometry assisted refractive optimization of sfiol |
| topic | intraoperative aberrometry refractive optimization sfiol |
| url | https://journals.lww.com/10.4103/IJO.IJO_751_24 |
| work_keys_str_mv | AT saurabhverma intraoperativeaberrometryassistedrefractiveoptimizationofsfiol AT pradeepvenkatesh intraoperativeaberrometryassistedrefractiveoptimizationofsfiol AT shoryavardhanazad intraoperativeaberrometryassistedrefractiveoptimizationofsfiol AT deveshkumawat intraoperativeaberrometryassistedrefractiveoptimizationofsfiol AT sudarshankhokhar intraoperativeaberrometryassistedrefractiveoptimizationofsfiol |