FOUR-Flanged 5.0 Polypropylene Intrascleral Intraocular LENS Fixation Technique: NO Flaps, NO Knots, NO Glue | ASCRS
Presentation
FOUR-Flanged 5.0 Polypropylene Intrascleral Intraocular LENS Fixation Technique: NO Flaps, NO Knots, NO Glue
May 2020
Meeting: 2020 Virtual Annual Meeting
Session: SPS-113 Cataract - Challenging Cases
Authors: Sergio F. Canabrava, MD, Mayara Grigorio MD, Gustavo Rodrigues MD, Thiago Galvao MD
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Purpose
To develop a novel sutureless intraocular lens (IOL) intrascleral fixation technique based on Double Flanged 5.0 Polypropylene Suture.

Methods
The novel method uses a 5.0 polypropylene suture and a bipolar cautery to create 2 flanges in the eyelets of the IOL and 2 flanges outside, in order the insert them inside the scleral tunnel and thus fixate the IOL.

Results
This technique had been applied in 12 patients with aphakia following phacoemulsification complications. The mean preoperative and postoperative correct distance visual acuities were 0.45 ± 0.17 and 0.67 ± 0.27 (Snellen decimal units), respectively.

Conclusion
The four flanged technique improves and simplifies the existing single-piece, non-foldable IOL intrascleral fixation techniques.
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This presentation is from the session "SPS-113 Cataract - Challenging Cases" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.

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