Jul 3, 2023 · Scleral fixation of intraocular lens (SFIOL) is performed when in-the-bag IOL implantation is not feasible. Sutured and sutureless SFIOL are the two main approaches utilized. Main indications include subluxation or dislocation of the lens and aphakia with inadequate capsular support due to any cause.

Options for intraocular lens (IOL) implantation in the absence of capsular support include anterior chamber IOLs, iris-fixated IOLs, and scleral-fixated IOLs. Choice of IOL and implantation technique depends greatly on patient age, comorbid ocular conditions, the patient’s ocular anatomy, and surgeon comfort level with a specific technique.

Scleral-fixated IOLs are indicated when there is no capsular or iris support and the patient does not wish to remain aphakic. Patients with an intact capsule may be candidates for sulcus IOLs. Patients with an intact iris would be candidates for ACIOL or IFIOL placement.

Scleral fixated IOL (SFIOL) involves sutured/sutureless fixation of the IOL to the sclera. SFIOL’s position closely approximates the normal anatomic position of a within-the-bag IOL. It does not hinder pupillary dilation unlike an iris-claw IOL.

To investigate the long-term outcomes and complications of scleral-fixated intraocular lens (SFIOL) implantation without conjunctival peritomies and sclerotomy in patients with a history of ocular trauma with inadequate capsular support during primary pars plana vitrectomy or …

The aim of this study is to describe the complications and outcome of sutureless scleral fixated intraocular lens (SFIOL) implantation in traumatic aphakia. The study was conducted in a tertiary eye care centre in South India.

Jun 23, 2024 · SFIOL with “T”-shaped haptic is a viable option for aphakic cases with inadequate capsular support. IOL implantation with “T”-shaped haptic is sutureless, less damaging to ocular structures and has a shorter learning curve making it easier for implantation.

To compare the visual outcomes and complication profiles of primary scleral-fixated intraocular lens (SFIOL) versus primary anterior chamber intraocular lens (ACIOL) implantation in cataract surgeries complicated by inadequate capsular support.

Dec 12, 2024 · Timing and technique of scleral-fixated intraocular lens (SFIOL) insertion do not affect visual acuity (VA) outcomes and complication rates for eyes with retained lens fragments (RLF) after cataract surgery, according to research published in Retina.

Jan 3, 2024 · Drs. Pawan Puneet Malhotra and colleagues demonstrate a sutureless scleral fixation of IOL (SFIOL) technique that does not require the use of glue or microforceps.