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Comparing dislocation force between a flanged haptics IOL and a harpoon haptics IOL.

Sci Rep

December 2024

Vienna Institute for Research in Ocular Surgery (VIROS), A Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria.

To compare two different secondary IOL fixation techniques, either flanged or hooked, regarding the least required force to dislocate the haptic in human corneoscleral donor tissue (CST). Experimental laboratory investigation. The least required dislocation force (LRDF) of two different fixation techniques, namely the flanged haptics (FH, as described by Yamane) and the harpoon haptic technique (HH, as described by Carlevale) were investigated using 20 three-piece IOLs (KOWA PU6AS) and 20 single-piece IOLs (SOLEKO CARLEVALE) fixated to human scleral tissue.

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Scleral fixated intraocular lens techniques for the vitreoretinal surgeon: an update.

Curr Opin Ophthalmol

December 2024

Department of Research, Wills Eye Hospital, Philadelphia, PA.

Purpose Of Review: To describe recent evidence regarding surgical techniques for secondary scleral fixation of intraocular lenses (IOLs), with attention to information most relevant to the surgical practice of vitreoretinal surgeons.

Recent Findings: Recent studies have reported favorable outcomes in patients treated with scleral fixation of IOLs using Gore-Tex suture and flanged intrascleral haptic fixation (ISHF). ISHF can be achieved using trocar-cannulas or double needle-based techniques.

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Article Synopsis
  • A study analyzed complications related to the Zeiss CT Lucia 602 intraocular lenses through FDA MAUDE reports, focusing on flanged scleral tunnel fixation techniques.
  • A total of 178 reports were reviewed, with the majority occurring in the last three years, highlighting lens tilt as the most prevalent issue, along with cases of breakage.
  • The findings indicate a significant rise in reported complications, especially intraoperatively, and reveal that haptic breakage poses a serious concern for these lenses in practical use.
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Article Synopsis
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Purpose: The purpose of the study was to report the complications of sutureless intrascleral (SIS) intraocular lens (IOL) fixation and its management.

Materials And Methods: A multicenter, retrospective, consecutive interventional case series of patients with intra or postoperative complications after SIS IOL fixation during the technical learning curve of vitreoretinal surgeons from three Taiwanese referral hospitals. The used surgical techniques were the Scharioth technique for intrascleral tunnel fixation, Yamane technique (double-needle scleral fixation), and modified Yamane technique (double-needle flanged haptic scleral fixation).

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