Secondary Intraocular Lens Implantation Techniques in Aphakia Following Cataract Surgery

Mehmet BAYKARAa , Huri SABURb

aBursa Uludağ University Faculty of Medicine, Deparment of Ophthalmology, Bursa, Türkiye
bUniversity of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Ophthalmology, Ankara, Türkiye

ABSTRACT
After cataract surgery, there are various intraocular lens (IOL) implantation methods available for aphakic rehabilitation. Each of the described techniques has its own advantages and disadvantages. Implantations closer to the anatomical lens position and the nodal point of the eye are increasingly preferred due to better visual outcomes and lower complication rates. However, surgeons should decide which method to use based on their surgical experience, age and the condition of the patient’s eye, and the equipments available in the operating room. In this review, we aimed to summarize the secondary IOL implantation methods used in aphakic rehabilitation.
Keywords: Cataract; lenses, intraocular; aphakia, postcataract; lens implantation, intraocular

Referanslar

  1. Rossi T, Romano MR, Iannetta D, Romano V, Gualdi L, D'Agostino I, et al. Cataract surgery practice patterns worldwide: a survey. BMJ Open Ophthalmol. 2021;6(1):e000464. [Crossref]  [PubMed]  [PMC]
  2. Rementería-Capelo LA, García-Pérez JL, Gros-Otero J, Morán A, Sánchez-Pina JM, Contreras I. Visual and Refractive Outcomes of Cataract Surgeries Performed in One Year in a Private Practice Setting: Review of 2714 Procedures. J Ophthalmol. 2020;2020:2421816. [Crossref]  [PubMed]  [PMC]
  3. Cheng KKW, Tint NL, Sharp J, Alexander P. Surgical management of aphakia. J Cataract Refract Surg. 2022;48(12):1453-61. [Crossref]  [PubMed]
  4. Shen JF, Deng S, Hammersmith KM, Kuo AN, Li JY, Weikert MP, et al. Intraocular Lens Implantation in the Absence of Zonular Support: An Outcomes and Safety Update: A Report by the American Academy of Ophthalmology. Ophthalmology. 2020;127(9):1234-58. [Crossref]  [PubMed]
  5. Auffarth GU, Wesendahl TA, Brown SJ, Apple DJ. Are there acceptable anterior chamber intraocular lenses for clinical use in the 1990s? An analysis of 4104 explanted anterior chamber intraocular lenses. Ophthalmology. 1994; 101(12):1913-22. [Crossref]  [PubMed]
  6. Baykara M, Ozcetin H, Yilmaz S, Timuçin OB. Posterior iris fixation of the iris-claw intraocular lens implantation through a scleral tunnel incision. Am J Ophthalmol. 2007;144(4):586-91. [Crossref]  [PubMed]
  7. Erseven C, Sabur H, Baykara M. Long-term Results of Posterior Iris-Claw Lens Implantation and a Comparative Analysis with the Fellow Eye. Turkiye Klinikleri J Ophthalmol. 2021;30(2):115-22. [Crossref]
  8. Gicquel JJ, Guigou S, Bejjani RA, Briat B, Ellies P, Dighiero P. Ultrasound biomicroscopy study of the Verisyse aphakic intraocular lens combined with penetrating keratoplasty in pseudophakic bullous keratopathy. J Cataract Refract Surg. 2007;33(3):455-64. [Crossref]  [PubMed]
  9. Toro MD, Longo A, Avitabile T, Nowomiejska K, Gagliano C, Tripodi S, et al. Five-year follow-up of secondary iris-claw intraocular lens implantation for the treatment of aphakia: Anterior chamber versus retropupillary implantation. PLoS One. 2019;14(4):e0214140. [Crossref]  [PubMed]  [PMC]
  10. Sumitha CV, Pai V, Thulasidas M. Retropupillary iris-claw intraocular lens implantation in aphakic patients. Indian J Ophthalmol. 2020;68(4):597-602. [Crossref]  [PubMed]  [PMC]
  11. Mehta R, Aref AA. Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks. Clin Ophthalmol. 2019;13:2317-23. [Crossref]  [PubMed]  [PMC]
  12. Millar ER, Allen D, Steel DH. Effect of anterior capsulorhexis optic capture of a sulcus-fixated intraocular lens on refractive outcomes. J Cataract Refract Surg. 2013;39(6):841-4. [Crossref]  [PubMed]
  13. Tian T, Chen C, Jin H, Jiao L, Zhang Q, Zhao P. Capture of intraocular lens optic by residual capsular opening in secondary implantation: long-term follow-up. BMC Ophthalmol. 2018;18(1):84. [Crossref]  [PubMed]  [PMC]
  14. Weber CH, Cionni RJ. All about capsular tension rings. Curr Opin Ophthalmol. 2015;26(1):10-5. [Crossref]  [PubMed]
  15. Venkateswaran N, Henderson BA. Loose zonules in cataract surgery. Curr Opin Ophthalmol. 2022;33(1):53-7. [Crossref]  [PubMed]
  16. Henderson BA, Kim JY. Modified capsular tension ring for cortical removal after implantation. J Cataract Refract Surg. 2007;33(10):1688-90. [Crossref]  [PubMed]
  17. Bhattacharjee H, Bhattacharjee K, Das D, Jain PK, Chakraborty D, Deka S. Management of a posteriorly dislocated endocapsular tension ring and a foldable acrylic intraocular lens. J Cataract Refract Surg. 2004;30(1):243-6. [Crossref]  [PubMed]
  18. Malbran ES, Malbran E Jr, Negri I. Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction. Int Ophthalmol. 1986;9(2-3):151-60. [Crossref]  [PubMed]
  19. Vote BJ, Tranos P, Bunce C, Charteris DG, Da Cruz L. Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation. Am J Ophthalmol. 2006;141(2):308-12. [Crossref]  [PubMed]
  20. Wasiluk E, Krasnicki P, Dmuchowska DA, Proniewska-Skrętek E, Mariak Z. The implantation of the scleral-fixated posterior chamber intraocular lens with 9/0 polypropylene sutures - Long-term visual outcomes and complications. Adv Med Sci. 2019;64(1):100-3. [Crossref]  [PubMed]
  21. John T, Tighe S, Hashem O, Sheha H. New use of 8-0 polypropylene suture for four-point scleral fixation of secondary intraocular lenses. J Cataract Refract Surg. 2018;44(12):1421-5. [Crossref]  [PubMed]
  22. Khan MA, Gupta OP, Smith RG, Ayres BD, Raber IM, Bailey RS, et al. Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile. Br J Ophthalmol. 2016;100(5):638-43. [Crossref]  [PubMed]
  23. Bhojwani D, Vasavada AR, Vasavada V, Vasavada S, Praveen MR, Srivastava S. Intraoperative performance and long-term postoperative outcomes after scleral fixation of IOLs with polytetrafluoroethylene suture. J Cataract Refract Surg. 2020;46(11):1480-6. [Crossref]  [PubMed]
  24. Patel LG, Starr MR, Ammar MJ, Yonekawa Y. Scleral fixated secondary intraocular lenses: a review of recent literature. Curr Opin Ophthalmol. 2020; 31(3):161-6. [Crossref]  [PubMed]
  25. Das S, Nicholson M, Deshpande K, Kummelil MK, Nagappa S, Shetty BK. Scleral fixation of a foldable intraocular lens with polytetrafluoroethylene sutures through a Hoffman pocket. J Cataract Refract Surg. 2016;42(7):955-60. [Crossref]  [PubMed]
  26. Por YM, Lavin MJ. Techniques of intraocular lens suspension in the absence of capsular/zonular support. Surv Ophthalmol. 2005;50(5):429-62. [Crossref]  [PubMed]
  27. Baykara M. Suture burial technique in scleral fixation. J Cataract Refract Surg. 2004;30(5):957-9. [Crossref]  [PubMed]
  28. Baykara M, Timucin OB. Long-term results of a suture burial technique. Eur J Ophthalmol. 2008;18(3):368-70. [Crossref]  [PubMed]
  29. Gabor SGB, Pavlidis MM. Sutureless intrascleral posterior chamber in- traocular lens fixation. J Cataract Refract Surg. 2007;33:1851-4. [Crossref]  [PubMed]
  30. Sindal MD, Nakhwa CP, Sengupta S. Comparison of sutured versus sutureless scleral-fixated intraocular lenses.J Cataract Refract Surg. 2016;42(1):27-34. [Crossref]  [PubMed]
  31. Agarwal A, Kumar DA, Jacob S, Baid C, Agarwal A, Srinivasan S. Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refract Surg. 2008;34(9):1433-8. [Crossref]  [PubMed]
  32. Kumar DA, Agarwal A, Agarwal A, Chandrasekar R, Priyanka V. Long-term assessment of tilt of glued intraocular lenses: an optical coherence tomography analysis 5 years after surgery. Ophthalmology. 2015;122(1):48-55. [Crossref]  [PubMed]
  33. Falavarjani KG, Modarres M, Foroutan A, Bakhtiari P. Fibrin glue-assisted sutureless scleral fixation. J Cataract Refract Surg. 2009;35(5):795; author reply 795-6. [Crossref]
  34. Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique. Ophthalmology. 2017;124(8):1136-42. [Crossref]  [PubMed]
  35. Mizuno Y, Sugimoto Y. A comparative study of transscleral suture-fixated and scleral-fixated intraocular lens implantation. Int Ophthalmol. 2019;39(4):839-45. [Crossref]  [PubMed]
  36. Do JR, Park SJ, Mukai R, Kim HK, Shin JP, Park DH. A 1-Year Prospective Comparative Study of Sutureless Flanged Intraocular Lens Fixation and Conventional Sutured Scleral Fixation in Intraocular Lens Dislocation. Ophthalmologica. 2021;244(1):68-75. [Crossref]  [PubMed]
  37. Canabrava S, Bernardino L, Batisteli T, Lopes G, Diniz-Filho A. Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability. Int Ophthalmol. 2018;38(6):2653-62. [Crossref]  [PubMed]
  38. Canabrava S, Canêdo Domingos Lima AC, Ribeiro G. Four-Flanged Intrascleral Intraocular Lens Fixation Technique: No Flaps, No Knots, No Glue. Cornea. 2020;39(4):527-8. [Crossref]  [PubMed]
  39. Canabrava S, Andrade N, Henriques PR. Scleral fixation of a 4-eyelet foldable intraocular lens in patients with aphakia using a 4-flanged technique. J Cataract Refract Surg. 2021;47(2):265-9. [Crossref]  [PubMed]
  40. Carlà MM, Boselli F, Giannuzzi F, Caporossi T, Gambini G, Mosca L, et al. Sutureless scleral fixation Carlevale IOL: a review on the novel designed lens. Int Ophthalmol. 2023;43(6):2129-38. [Crossref]  [PubMed]  [PMC]
  41. Rossi T, Iannetta D, Romano V, Carlevale C, Forlini M, Telani S, et al. A novel intraocular lens designed for sutureless scleral fixation: surgical series. Graefes Arch Clin Exp Ophthalmol. 2021;259(1):257-62. [Crossref]  [PubMed]
  42. D'Agostino I, Parrulli S, De Angelis S, Invernizzi A, Bottoni F, Staurenghi G,et al. Sutureless scleral fixation: comparison between 3-piece IOL and new single-piece foldable IOL. Graefes Arch Clin Exp Ophthalmol. 2021;259(5):1365-73. [Crossref]  [PubMed]