The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Purpose. To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acui...

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Main Authors: Mateusz Kecik, Bojan Pajic, Olivier Le Quoy, Gabriele Thumann, Horace Massa
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/8448996
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author Mateusz Kecik
Bojan Pajic
Olivier Le Quoy
Gabriele Thumann
Horace Massa
author_facet Mateusz Kecik
Bojan Pajic
Olivier Le Quoy
Gabriele Thumann
Horace Massa
author_sort Mateusz Kecik
collection DOAJ
description Purpose. To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Results. The expected best corrected visual acuity could be achieved after one month. Surgeries were uneventful with a stable eye. No postoperative complications occurred except for one patient who had a conjunctival disinsertion. Neither postoperative hypotony nor raised IOP was found. Additionally, no patient experienced corneal edema at one week control, IOL dislocation, vitreous hemorrhage, or new pupil’s irregularity. Conclusions. In conclusion, each scleral technique has its own advantages and its inherent postoperative complications. To date, there is no evidence of superiority of any single technique. By improving our scleral sutured lens techniques, we could improve peroperative ocular stability, potentially decrease postoperative complication rate, and offer a rapid recovery with a stable visual acuity within a month.
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issn 2090-004X
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spelling doaj-art-b6fdcc072b934f53848714497933a5ec2025-02-03T05:47:40ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/84489968448996The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive TechniqueMateusz Kecik0Bojan Pajic1Olivier Le Quoy2Gabriele Thumann3Horace Massa4Department of Clinical Neurosciences, Division of Ophthalmology, Geneva University Hospitals, 1205 Geneva, SwitzerlandDepartment of Clinical Neurosciences, Division of Ophthalmology, Geneva University Hospitals, 1205 Geneva, SwitzerlandFondation Ophtalmologique Adolphe de Rothschild, 75019 Paris, FranceDepartment of Clinical Neurosciences, Division of Ophthalmology, Geneva University Hospitals, 1205 Geneva, SwitzerlandDepartment of Clinical Neurosciences, Division of Ophthalmology, Geneva University Hospitals, 1205 Geneva, SwitzerlandPurpose. To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Results. The expected best corrected visual acuity could be achieved after one month. Surgeries were uneventful with a stable eye. No postoperative complications occurred except for one patient who had a conjunctival disinsertion. Neither postoperative hypotony nor raised IOP was found. Additionally, no patient experienced corneal edema at one week control, IOL dislocation, vitreous hemorrhage, or new pupil’s irregularity. Conclusions. In conclusion, each scleral technique has its own advantages and its inherent postoperative complications. To date, there is no evidence of superiority of any single technique. By improving our scleral sutured lens techniques, we could improve peroperative ocular stability, potentially decrease postoperative complication rate, and offer a rapid recovery with a stable visual acuity within a month.http://dx.doi.org/10.1155/2021/8448996
spellingShingle Mateusz Kecik
Bojan Pajic
Olivier Le Quoy
Gabriele Thumann
Horace Massa
The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique
Journal of Ophthalmology
title The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique
title_full The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique
title_fullStr The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique
title_full_unstemmed The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique
title_short The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique
title_sort swiss iol technique small width incision scleral suture a mini invasive technique
url http://dx.doi.org/10.1155/2021/8448996
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