title: A truly knotless technique for scleral fixation of intraocular lenses: two-year results.
abstract: Scleral fixated intraocular lens (SFIOL) is a safe and effective option for managing optical aphakia. Suture related complications like suture erosion, suture breakage, endophthalmitis, etc. are unique to SFIOL. The knots can be covered by partial thickness flaps or they can be rotated into scleral tissues without flaps to reduce the complications. We performed a recently described novel technique which obviates the need for knot and scleral flaps in securing the SFIOL. This novel 2-point Ab externo knotless technique may reduce the knot related problems. Twenty-three eyes undergoing this knotless SFIOL procedure were analyzed for intraoperative and postoperative complications. Twenty-two eyes either maintained or improved on their preoperative vision. All patients had a minimum follow-up of 24 months.
authors.affiliation: Department of Vitreo Retina, Narayana Nethralaya, Super Specialty Eye Hospital and Post Graduate Institute of Ophthalmology, Bangalore-560 010, India. vasudha.naresh@gmail.com
authors.forename: Naresh K
authors.initials: NK
authors.lastname: Yadav
authors.forename: Vasudha
authors.initials: V
authors.lastname: Kemmanu
authors.forename: Mayuri
authors.initials: M
authors.lastname: Bhargava
authors.forename: Bhujanga
authors.initials: B
authors.lastname: Shetty
mesh_terms: D001035:Aphakia / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D019654:Lens Implantation, Intraocular / Q000295:instrumentation / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques