Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support

The study is aimed at describing a technique for scleral fixation of toric intraocular lens (TIOL) in the eyes without capsular support coexisting with corneal astigmatism. A monofocal toric hydrophobic lens with eyelets at the optic-haptic junction (enVista One-Piece Hydrophobic Acrylic MX60T Toric...

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Main Authors: Karolina Krix-Jachym, Natalia Błagun, Marek Rękas
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2024/7157592
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author Karolina Krix-Jachym
Natalia Błagun
Marek Rękas
author_facet Karolina Krix-Jachym
Natalia Błagun
Marek Rękas
author_sort Karolina Krix-Jachym
collection DOAJ
description The study is aimed at describing a technique for scleral fixation of toric intraocular lens (TIOL) in the eyes without capsular support coexisting with corneal astigmatism. A monofocal toric hydrophobic lens with eyelets at the optic-haptic junction (enVista One-Piece Hydrophobic Acrylic MX60T Toric IOL; Bausch & Lomb) was fixated to the sclera using two fragments of 6–0 polypropylene monofilament, the ends of which were brought out through the sclera and cauterized. The astigmatic axis of a TIOL was adjusted according to the corneal astigmatic axis of the patient. The surgery was performed in the 5 eyes of 5 patients without capsular support. The method was safe and effective in fixing the lens to the sclera, and it ensured good centration of TIOL with predictable refractive outcomes. No conjunctival sutures, glue, or flap formation was required during the surgery. There were no relevant complications related to the procedure.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-e725d9fe49ab4088b040d45cdfcd8ebc2025-02-03T05:55:20ZengWileyCase Reports in Ophthalmological Medicine2090-67302024-01-01202410.1155/2024/7157592Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular SupportKarolina Krix-Jachym0Natalia Błagun1Marek Rękas2Ophthalmology DepartmentOphthalmology DepartmentOphthalmology DepartmentThe study is aimed at describing a technique for scleral fixation of toric intraocular lens (TIOL) in the eyes without capsular support coexisting with corneal astigmatism. A monofocal toric hydrophobic lens with eyelets at the optic-haptic junction (enVista One-Piece Hydrophobic Acrylic MX60T Toric IOL; Bausch & Lomb) was fixated to the sclera using two fragments of 6–0 polypropylene monofilament, the ends of which were brought out through the sclera and cauterized. The astigmatic axis of a TIOL was adjusted according to the corneal astigmatic axis of the patient. The surgery was performed in the 5 eyes of 5 patients without capsular support. The method was safe and effective in fixing the lens to the sclera, and it ensured good centration of TIOL with predictable refractive outcomes. No conjunctival sutures, glue, or flap formation was required during the surgery. There were no relevant complications related to the procedure.http://dx.doi.org/10.1155/2024/7157592
spellingShingle Karolina Krix-Jachym
Natalia Błagun
Marek Rękas
Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support
Case Reports in Ophthalmological Medicine
title Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support
title_full Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support
title_fullStr Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support
title_full_unstemmed Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support
title_short Scleral Fixation of Toric Intraocular Lens in the Absence of Capsular Support
title_sort scleral fixation of toric intraocular lens in the absence of capsular support
url http://dx.doi.org/10.1155/2024/7157592
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