One-Year Outcomes of Eyes Treated With a Sutureless Scleral Fixation Technique for Intraocular Lens Placement or Rescue

In Brief Purpose: To report the 1 year results of a novel surgical technique for sutureless scleral fixation of a 3-piece intraocular lens. Methods: Retrospective consecutive series of patients who underwent sutureless scleral fixation of a three-piece intraocular lens. All patients were required to have at least 1 year of follow-up to be included in the series. Outcomes data were obtained and treated with simple statistical analyses. Results: A total of 24 patients were included in the study population. The average age was 75 years (range, 44–87). Short-term complications were few and included vitreous hemorrhage (n = 2), elevated intraocular pressure (n = 1), and hypotony (n = 1). Long-term complications included intraocular lens dislocation (n = 3) and cystoid macular edema (n = 1). Mean visual acuity improved from logMAR 1.30 (Snellen 20/399) to 0.52 (Snellen 20/66) at 1 year. Conclusion: This novel technique for sutureless scleral fixation of a three-piece intraocular lens was well-tolerated 1 year after surgery. The sutureless scleral fixation technique is a minimally invasive and efficient technique, allowing a three-piece intraocular lens to be implanted or rescued into a sulcus-based position without suture fixation. One year after surgery, this technique was well tolerated with minimal long-term complications.