Bioptics in sutureless intrascleral multifocal posterior chamber intraocular lens fixation.
OBJECTIVE
To present a technique for sutureless fixation of a three-piece, multifocal, posterior chamber intraocular lens (IOL) in the ciliary sulcus.


METHODS
A 24-year-old woman presented with bilateral subluxation of the crystalline lens. Two straight sclerotomies were prepared with a 24-gauge cannula 2.0 mm from the limbus 180° apart from each other. The cannula was used to create a 2.0- to 3.0-mm tunnel parallel to the limbus starting from the sclerotomies. The leading haptic of the multifocal IOL was grasped at its tip with end-gripping, 25-gauge forceps and pulled through the sclerotomy. The forceps was used to introduce the IOL haptic into the scleral tunnel parallel to the limbus.


RESULTS
Multifocal posterior chamber IOLs were stable and well centered. No postoperative complications occurred in the 16-month follow-up period. Preoperative astigmatism was corrected after IOL implantation with corneal wavefront-guided laser epithelial keratomileusis.


CONCLUSIONS
Sutureless fixation of multifocal posterior chamber IOL haptics in a scleral tunnel parallel to the limbus can be successful, resulting in long-term centration and three-dimensional axial stability for optimal refractive results. If necessary, postoperative wavefront-guided refractive correction can be performed to optimize final refraction.
Augenzentrum Recklinghausen, Recklinghausen, Germany. pavlidis@uni-muenster.de
Mitrofanis
M
Pavlidis
Diego
D
de Ortueta
Gabor B
GB
Scharioth
D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D011475:Prosthesis Failure; D012086:Reoperation; D012590:Sclera / Q000601:surgery; D013536:Suture Techniques; D014792:Visual Acuity; D055815:Young Adult