title: Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction.
abstract: OBJECTIVE
  To report the clinical outcomes of transscleral fixation using a single-piece foldable acrylic intraocular lens (IOL) with eyelets at the optic-haptic junction (enVista; Bausch & Lomb).
  
  
  METHODS
  Retrospective, noncomparative case series.
  
  
  METHODS
  Sixty eyes of 60 patients who underwent transscleral fixation with an enVista IOL were reviewed.
  
  
  METHODS
  Preoperative patient status, postoperative visual and refractive outcomes, and postoperative complications were analyzed.
  
  
  RESULTS
  The study included 60 eyes of 60 patients (52 males, 8 females) with a mean age of 56.65 ± 15.57 years. At final follow-up visit, the mean follow-up was 11.40 ± 4.24 months. The mean uncorrected visual acuity (logMAR) improved from 1.95 ± 0.90 to 0.85 ± 0.77 (p < 0.001), and best corrected visual acuity (logMAR) improved from 1.11 ± 1.13 to 0.64 ± 0.70 (p = 0.006). The mean spherical equivalent improved significantly from 6.90 ± 6.10 to 0.21 ± 2.10 D postoperatively (p < 0.001). Complications included transient ocular hypertension (15%), transient hypotony (7%), and hyphema (5%), but no serious complications were observed. In all cases, the IOL remained stable and well centred.
  
  
  CONCLUSIONS
  Transscleral fixation using a foldable acrylic IOL with eyelets at the optic-haptic junction can be a safe and effective alternative technique to manage cases with broken capsular bag or weak zonular support.
authors.affiliation: Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, South Korea.
authors.forename: Jee Myung
authors.initials: JM
authors.lastname: Yang
authors.affiliation: Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, South Korea.
authors.forename: Kyung-Chul
authors.initials: KC
authors.lastname: Yoon
authors.affiliation: Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. Electronic address: redvein@naver.com.
authors.forename: Yong-Sok
authors.initials: YS
authors.lastname: Ji
mesh_terms: D000180:Acrylic Resins; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011474:Prosthesis Design; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000180:Acrylic Resins