Abd-Elhafez, Y., Ghali, A., Hodib, A., Ali, A. (2019). Evaluation of Flanged Haptics Intrascleral Sutureless Intraocular Lens Fixation. The Egyptian Journal of Hospital Medicine, 76(3), 3718-3723. doi: 10.21608/ejhm.2019.39918
Younis Alsaeid Abd-Elhafez; Ali Ahmed Ali Ghali; Ahmed El Sayed Hodib; Ahmed Anwer Sadat Ali. "Evaluation of Flanged Haptics Intrascleral Sutureless Intraocular Lens Fixation". The Egyptian Journal of Hospital Medicine, 76, 3, 2019, 3718-3723. doi: 10.21608/ejhm.2019.39918
Abd-Elhafez, Y., Ghali, A., Hodib, A., Ali, A. (2019). 'Evaluation of Flanged Haptics Intrascleral Sutureless Intraocular Lens Fixation', The Egyptian Journal of Hospital Medicine, 76(3), pp. 3718-3723. doi: 10.21608/ejhm.2019.39918
Abd-Elhafez, Y., Ghali, A., Hodib, A., Ali, A. Evaluation of Flanged Haptics Intrascleral Sutureless Intraocular Lens Fixation. The Egyptian Journal of Hospital Medicine, 2019; 76(3): 3718-3723. doi: 10.21608/ejhm.2019.39918
Evaluation of Flanged Haptics Intrascleral Sutureless Intraocular Lens Fixation
Department of Ophthalmology, Faculty of Medicine, Al-Azhar University
Abstract
Background: successful intraocular lens (IOL) placement in patients undergoing cataract surgery has become synonymous with the IOL being placed in the capsular bag. Purpose: to evaluate the flanged haptic sutureless intrascleral intraocular lens fixation with double needle technique as a method of scleral fixation of posterior chamber IOL (PCIOL) as regard to its stability and safety as well as its complications. Patients and Methods: this is a prospective study, which included 20 eyes of 20 patients with aphakia with no adequate capsular support. Results: post-operatively the best corrected visual acuity (BCVA) was improved to reach up to 0.8 decimal unit. Intra-operatively, haptic breakage was reported in 3 cases where the IOLs were explanted and new IOLs were implanted and sclerally fixated. The post-operative complications included iris capture in 2 cases (10%), haptic deformation in 2 cases (10%), exposure in 5 cases (25%) and slippage in 2 cases (10%), corneal edema in 6 cases (30%), IOL decentration in 4 cases (20%) one of them was significantly decentered and needed for reoperation where one point fixation by a stitch of the slipped haptic , spontaneous IOL dislocation in 2 cases (10%) 1 month and 3 months post-operatively, both required re operation where the slipped IOL was explanted and new one is re implanted and sclerally fixated. There were no incidents of post-operative ciliary body injury, retinal tear or detachment or endophthalmitis. Conclusions: the flanged haptics intrascleral sutureless IOL fixation with double needle technique can be done for aphakic cases with no adequate capsular support.
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