Correction of aphakia in cases of insufficient capsular bag stability

A variety of situations can lead to the need for an alternative method of intraocular lens (IOL) fixation if implantation in the capsular bag is not possible. Depending on the situation, sulcus-fixated IOLs, iris-fixated IOLs (IFIOLs) and scleral-fixated IOLs (SFIOLs) are available. With SFIOLs, a d...

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Bibliographic Details
Published in:Die Ophthalmologie 2024-11, Vol.121 (11), p.872
Main Authors: Baur, Isabella D, Winkelmann, Isabel, Albrecht, Michael, Botros, Youssef, Auffarth, Gerd U, Khoramnia, Ramin
Format: Article
Language:ger
Subjects:
Aphakia - surgery
Aphakia, Postcataract - surgery
Humans
Iris - surgery
Lens Capsule, Crystalline - surgery
Lens Implantation, Intraocular - methods
Lenses, Intraocular
Sclera - surgery
Suture Techniques
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Summary:A variety of situations can lead to the need for an alternative method of intraocular lens (IOL) fixation if implantation in the capsular bag is not possible. Depending on the situation, sulcus-fixated IOLs, iris-fixated IOLs (IFIOLs) and scleral-fixated IOLs (SFIOLs) are available. With SFIOLs, a distinction is made between suture-fixated and sutureless-fixated techniques. This paper summarizes the advantages and disadvantages of the different approaches, including the newer methods of sutureless SFIOLs. The decision on a specific approach in the individual case depends on both the individual circumstances of the patient and the experience of the surgeon.
ISSN:2731-7218
2731-7218
DOI:10.1007/s00347-024-02097-3