Fixation of a new implantable miniature telescope in the absence of capsular support: sulcus-fixated frame

This study evaluated the interaction of the Smaller-Incision New Generation Implantable Miniature Telescope (SING IMT) with a novel sulcus-fixated frame (SFF) prototype designed to provide stable, long-term support in eyes with inadequate capsular support. To visualize the interaction between the 2 devices, human cadaver eyes were prepared using the Miyake–Apple View and a modified Apple–Choi View. The SFF was implanted and fixated in the sulcus through a 3-point scleral fixation technique. The SFF demonstrated a stable fixation of the SING IMT, maintaining axial stability and preventing tilt. Successful centration was achieved, with video documentation confirming the feasibility of implantation with minimal tilt comparable with the natural human capsular bag. The SFF represents an innovative solution for patients with central vision loss who lack adequate capsular support for the SING IMT. This sulcus-fixated approach offers enhanced optical stability and may be extended to other intraocular lens applications.