What type of study is this?

This is a Human Clinical Trial study.

September 10, 2025

Hybrid approach integrating classical scleral pocket and Hoffman pocket for Carlevale IOL scleral fixation in a patient with dislocated lens and severe conjunctival scarring

Key Points

The hybrid approach successfully improved visual acuity and stabilized the Carlevale IOL.
During follow-up, the Carlevale IOL remained stable after implementing the hybrid fixation technique.
This technique addresses conjunctival scarring effectively, widening surgical options for IOL fixation.
The surgical method integrates classic scleral and Hoffman pockets, avoiding conjunctival dissection.

Abstract

We introduce a hybrid surgical approach for Carlevale intraocular lens (IOL) fixation, combining scleral and Hoffman pocket techniques to address preoperative conjunctival scarring in a patient with IOL dislocation requiring exchange. The dislocated IOL was removed, and a Carlevale IOL was implanted with a classical scleral fixation nasally and the Hoffman technique temporally due to conjunctival scarring from previous strabismus surgery. During follow-up, the Carlevale IOL remained stable and visual acuity improved significantly. This hybrid approach, integrating Hoffman pocket without conjunctival dissection, is a viable alternative when conjunctival scarring is present, expanding the surgical options for Carlevale IOL fixation.

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Cite This Study

Karmiris et al. (Tue,) studied this question.

synapsesocial.com/papers/68c1a78154b1d3bfb60e1207 https://doi.org/https://doi.org/10.4103/ijo.ijo_1873_24

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