Flanged fixation secures IOL haptics within the sclera

Flanged IOL fixation is a simple, minimally invasive, and effective technique for transconjunctival intrascleral fixation of a three-piece IOL, said Shin Yamane, MD, PhD, at the inaugural Retina World Congress.

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Reporting clinical outcomes from a prospective, noncomparative, interventional case series that included 100 eyes of 97 patients, Dr. Yamane concluded that the novel fixation method provided good IOL fixation along with firm haptic fixation.

“At follow-up to 6 months, the mean refractive difference from the predicted value calculated with the SRK/T formula was only -0.21 D, and mean IOL tilt measured by swept-source optical coherence tomography was only 3.44º,” said Dr. Yamane, assistant professor, Department of Ophthalmology and Micro-technology, Yokohama City University Medical Center, Yokohama, Japan.

“There have been no cases of IOL dislocation after surgery,” Dr. Yamane added.

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Kouros A. Rezaei, MD, who was a co-chair of the session, commented, “This is a very elegant technique."

"One of the biggest challenges for scleral-fixated IOLs is that the haptic breaks during manipulation, and this technique will prevent that from happening,” said Dr. Rezaei, associate professor of ophthalmology, Rush University Medical Center, Chicago.

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