Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique

Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique

Ciro Tamburrelli,1 Anna Clara Tamburrelli2 1Oftalmico Hospital of Rome, Rome, Italy; 2La Sapienza University of Rome, Clinica Oculistica Ospedale Umberto I, Rome, ItalyCorrespondence: Ciro TamburrelliOftalmico Hospital of Rome, Via Filippo Nicolai 91, Rome 00136, ItalyEmail citambu@gmail.comPurpose:...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Tamburrelli C, Tamburrelli AC
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
intrascleral intraocular lens fixation
catcher pole technique
capsular loss
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/0b88256ddf6f4c019ed27f88848db699
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:0b88256ddf6f4c019ed27f88848db699
record_format dspace
spelling oai:doaj.org-article:0b88256ddf6f4c019ed27f88848db6992021-12-02T15:14:22ZSutureless Scleral Fixated IOL: The “Catcher Pole” Technique1177-5483https://doaj.org/article/0b88256ddf6f4c019ed27f88848db6992021-01-01T00:00:00Zhttps://www.dovepress.com/sutureless-scleral-fixated-iol-the-ldquocatcher-polerdquo-technique-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ciro Tamburrelli,1 Anna Clara Tamburrelli2 1Oftalmico Hospital of Rome, Rome, Italy; 2La Sapienza University of Rome, Clinica Oculistica Ospedale Umberto I, Rome, ItalyCorrespondence: Ciro TamburrelliOftalmico Hospital of Rome, Via Filippo Nicolai 91, Rome 00136, ItalyEmail citambu@gmail.comPurpose: To describe a new surgical technique for sutureless intrascleral intraocular lens (IOL) fixation with an adapted retinal scraper used as an instrument “the Catcher Pole” to retrieve the IOL haptic through a scleral tunnel.Setting: Public Eye Hospital, Roma, Italy.Design: Retrospective case series.Methods: Twenty-one eyes from 19 patients who underwent sutureless intrascleral IOL fixation were studied. A standard three-piece posterior chamber IOL (PCIOL) was implanted in aphakia or rescued and fixated in cases of dislocated PCIOL. A 23 to 25 G retinal loop scraper (the “Catcher Pole“) was inserted through a 1.5 mm long tunneled sclerotomy performed on the horizontal meridian, to capture, hold and externalize the tip of the haptic of the IOL. A flange created with an handheld cautery on the externalized haptic tip prevents IOL slippage. The best-corrected visual acuity (BCVA), central corneal pachymetry (CCP), IOL tilt and complications were assessed.Results: In twenty-one eyes of 19 patients, the mean preoperative BCVA was 0.61 logMAR units ± 0.05 SD, and the mean postoperative BCVA improved significantly to 0.18 logMAR units at three months ± 0.05 SD (P=0.002). The mean preoperative CCP was 610 μ ± 17 SD and the mean postoperative CCP 623 μ ± 16 SD, (P=0.73). In the subgroup that underwent IOL tilt evaluation, mean IOL tilt was 3.19± 2.01. The postoperative complications included iris capture of the IOL in one eye (4,7%) and transient ocular hypertension in two eyes (9,4%).Conclusions: The “Catcher Pole” sutureless intrascleral IOL fixation technique is easy to perform with reduced anterior chamber manipulations and achieves both anatomical and optical stability.Keywords: intrascleral intraocular lens fixation, Catcher Pole technique, capsular lossTamburrelli CTamburrelli ACDove Medical Pressarticleintrascleral intraocular lens fixationcatcher pole techniquecapsular lossOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 121-128 (2021)
institution DOAJ
collection DOAJ
language EN
topic intrascleral intraocular lens fixation
catcher pole technique
capsular loss
Ophthalmology
RE1-994
spellingShingle intrascleral intraocular lens fixation
catcher pole technique
capsular loss
Ophthalmology
RE1-994
Tamburrelli C
Tamburrelli AC
Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique
description Ciro Tamburrelli,1 Anna Clara Tamburrelli2 1Oftalmico Hospital of Rome, Rome, Italy; 2La Sapienza University of Rome, Clinica Oculistica Ospedale Umberto I, Rome, ItalyCorrespondence: Ciro TamburrelliOftalmico Hospital of Rome, Via Filippo Nicolai 91, Rome 00136, ItalyEmail citambu@gmail.comPurpose: To describe a new surgical technique for sutureless intrascleral intraocular lens (IOL) fixation with an adapted retinal scraper used as an instrument “the Catcher Pole” to retrieve the IOL haptic through a scleral tunnel.Setting: Public Eye Hospital, Roma, Italy.Design: Retrospective case series.Methods: Twenty-one eyes from 19 patients who underwent sutureless intrascleral IOL fixation were studied. A standard three-piece posterior chamber IOL (PCIOL) was implanted in aphakia or rescued and fixated in cases of dislocated PCIOL. A 23 to 25 G retinal loop scraper (the “Catcher Pole“) was inserted through a 1.5 mm long tunneled sclerotomy performed on the horizontal meridian, to capture, hold and externalize the tip of the haptic of the IOL. A flange created with an handheld cautery on the externalized haptic tip prevents IOL slippage. The best-corrected visual acuity (BCVA), central corneal pachymetry (CCP), IOL tilt and complications were assessed.Results: In twenty-one eyes of 19 patients, the mean preoperative BCVA was 0.61 logMAR units ± 0.05 SD, and the mean postoperative BCVA improved significantly to 0.18 logMAR units at three months ± 0.05 SD (P=0.002). The mean preoperative CCP was 610 μ ± 17 SD and the mean postoperative CCP 623 μ ± 16 SD, (P=0.73). In the subgroup that underwent IOL tilt evaluation, mean IOL tilt was 3.19± 2.01. The postoperative complications included iris capture of the IOL in one eye (4,7%) and transient ocular hypertension in two eyes (9,4%).Conclusions: The “Catcher Pole” sutureless intrascleral IOL fixation technique is easy to perform with reduced anterior chamber manipulations and achieves both anatomical and optical stability.Keywords: intrascleral intraocular lens fixation, Catcher Pole technique, capsular loss
format article
author Tamburrelli C
Tamburrelli AC
author_facet Tamburrelli C
Tamburrelli AC
author_sort Tamburrelli C
title Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique
title_short Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique
title_full Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique
title_fullStr Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique
title_full_unstemmed Sutureless Scleral Fixated IOL: The “Catcher Pole” Technique
title_sort sutureless scleral fixated iol: the “catcher pole” technique
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/0b88256ddf6f4c019ed27f88848db699
work_keys_str_mv AT tamburrellic suturelessscleralfixatedioltheldquocatcherpolerdquotechnique
AT tamburrelliac suturelessscleralfixatedioltheldquocatcherpolerdquotechnique
_version_ 1718387552183910400

Ejemplares similares