title: Sutureless intrascleral intraocular lens fixation with lamellar dissection of scleral tunnel.
abstract: OBJECTIVE
  To report the results of sutureless scleral fixation of a posterior chamber intraocular lens (IOL) by using our developed simple technique.
  
  
  METHODS
  We retrospectively reviewed the medical records of 48 eyes of 47 patients who underwent sutureless intrascleral IOL fixation by using our modified technique. A 25-gauge microvitreoretinal knife was used to perform sclerotomies and create limbus-parallel scleral tunnels with lamellar dissection in which the haptics were fixed.
  
  
  RESULTS
  The IOLs were fixed and centered well. The mean follow-up period was 26.7 months. Postoperative complications included smooth vitreous hemorrhage in four eyes (8.3%), cystoid macular edema in two eyes (4.2%), and iris capture of the IOL in two eyes (4.2%). No other complications, such as breakage of the IOL, spontaneous IOL dislocation, or retinal detachment, were detected during the follow-up period.
  
  
  CONCLUSIONS
  The lamellar dissection of the limbus-parallel scleral tunnel can simplify the forceps-assisted introduction of the haptics into the scleral tunnel, and this technique seemed to be safe.
authors: Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Japan; Sato Eye & Internal Medicine Clinic, Kumamoto, Japan.
authors: Takahiro
authors: T
authors: Kawaji
authors: Sato Eye & Internal Medicine Clinic, Kumamoto, Japan.
authors: Tomoki
authors: T
authors: Sato
authors: Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Japan.
authors: Hidenobu
authors: H
authors: Tanihara
keywords: intraocular lenses; intrascleral fixation; ophthalmologic surgical procedures; sutureless fixation