Abstract
Purpose:
To report the clinical outcomes of a modified suture technique used for transscleral intraocular lens (IOL) fixation.
Methods:
This study enrolled patients with aphakia, dislocated IOL, or crystalline lens luxation. All eyes underwent transscleral IOL fixation using the L-suture technique. The maximum tensile strength of the L-suture fixation was evaluated in vitro and compared with the Z-suture technique. Outcome measures included best-corrected visual acuity, corneal endothelial cell density, IOL tilt, and postoperative complications.
Results:
This case series included 35 eyes of 33 consecutive patients. The mean follow-up time was 21 ± 7 months. The mean best-corrected visual acuity improved from 0.25 ± 0.29 logMAR (Snellen 20/36) at baseline to 0.09 ± 0.13 logMAR (Snellen 20/25) at the final follow-up (
P
= 0.001). At the last visit, corneal endothelial cell count decreased by 7.2% (
P
P
Conclusion:
The L-suture technique provides a satisfying postoperative IOL position with robust fixation while minimizing invasiveness.