Implantable polypropylene capsular hook(s) for managing subluxated lenses: a prospective study.

PURPOSE: To report the clinical outcomes of intrascleral fixation of implantable capsular hooks for managing subluxated lenses. DESIGN: Prospective, non-comparative, interventional case series. METHODS: Patients with subluxated lenses who underwent in-the-bag intraocular lens (IOL) implantation assisted by capsular tension ring and implantable capsular hook(s) made of 7-0 polypropylene sutures were included. The main postoperative outcome measure was IOL position including IOL decentration, tilt, postoperative anterior chamber depth (ACD), and the distance between IOL and iris. Secondary postoperative outcomes included best-corrected visual acuity (BCVA), spherical equivalent (SE), corneal endothelial cell density (ECD), intraocular pressure (IOP), and complications. RESULTS: at the final follow-up visit with a mean loss of 14.70 ± 14.60 % (P<0.05). The intraoperative complication was transient mild bleeding during penetration of the scleral wall (n = 4, 5.4 %). Postoperative complications included IOP elevation (n = 9, 12.2 %), hypotony (n = 2, 2.7 %), grade 2 anterior chamber cells (n = 2, 2.7 %), retinal detachment (n = 1, 1.4%), cystoid macular edema (n = 1, 1.4%), and posterior capsule opacification (n = 1, 1.4%). CONCLUSION: Intrascleral fixation of implantable capsular hooks enables in-the-bag IOL implantation in eyes with subluxated lenses and represents a feasible, stable, and safe approach.