title: Sutureless intrascleral intraocular lens implantation after ocular trauma.
abstract: OBJECTIVE
  To report the results and safety of sutureless intrascleral haptic fixation in traumatized eyes and to compare this procedure with retropupillary iris-claw intraocular lens (IOL) fixation.
  
  
  METHODS
  University Hospital of Strasbourg, Strasbourg, France.
  
  
  METHODS
  Interventional case series.
  
  
  METHODS
  Patients with traumatic cataract and severely damaged capsular bags were divided into 2 groups (Group 1: intrascleral IOLs [Acrysof MN60 AC]; Group 2: retropupillary iris-claw IOLs [Verisyse]). The main outcome was the final visual acuity. The surgically induced astigmatism (SIA) was calculated by the vectorial method.
  
  
  RESULTS
  Twenty-six eyes of 23 patients were studied, 8 eyes in Group 1 and 18 eyes in Group 2. The mean follow-up was 14 months. There was no difference in corrected distance visual acuity (CDVA) at the time of the surgery (P>.05). The mean CDVA (logMAR) was 1.68 ± 1.15 (SD) preoperatively and 0.55 ± 0.9 postoperatively in Group 1 (P = .03) and 1.11 ± 1.13 and 0.32 ± 0.47, respectively, in Group 2 (P = .003). The final CDVA was not different between groups (P>.05). The mean SIA was 1.91 ± 1.66 diopters (D) in Group 1 and 2.74 ± 1.92 D in Group 2 (P>.05). No intraoperative complications occurred in Group 2; a haptic broke in Group 1. Macular edema occurred in both groups.
  
  
  CONCLUSIONS
  Sutureless intrascleral IOLs corrected posttraumatic aphakia. The SIA was comparable between groups. This procedure should be considered after trauma when other implantation techniques are not possible.
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France. Electronic address: msaleh@chu-besancon.fr.
authors.forename: Maher
authors.initials: M
authors.lastname: Saleh
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Heitz
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
authors.forename: Tristan
authors.initials: T
authors.lastname: Bourcier
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Speeg
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Delbosc
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Montard
authors.affiliation: From the Department of Ophthalmology (Saleh, Heitz, Bourcier, Speeg, Gaucher), Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, and the University Hospital of Besançon (Saleh, Delbosc, Montard), University of Franche-Comté, Besancon, France.
authors.forename: David
authors.initials: D
authors.lastname: Gaucher
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000209:etiology; D002387:Cataract Extraction; D005131:Eye Injuries / Q000209:etiology*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007498:Iris / Q000601:surgery; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007908:Lens, Crystalline / Q000293:injuries; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000209:etiology*; D055815:Young Adult