A novel sutureless scleral IOL fixation technique is successful in patients with insufficient posterior capsule support, proves a study in the journal Eye.

Dr Y. Totan et al., Department of Ophthalmology, Fatih University, Medical School, Emek, Turkey, included eight eyes of seven patients in the study. Scleral tunnels were prepared by inserting a 25 G transconjunctival sutureless vitrectomy (TSV) microcannulas using the trocars.

Anterior vitrectomy was completed via the clear corneal paracentesis with an anterior chamber maintainer (ACM). Then the three-piece foldable IOL haptics were incarcerated into the scleral tunnels.

There were no complications recorded such as postoperative endophthalmitis, glaucoma, IOL tilt/decentralization and retinal detachment. There was less incidence of surgical-induced astigmatism because the foldable IOL was injected through a clear corneal incision.

Although the procedure could cause minimal trauma, it also provides good IOL stabilization, a decrease in IOL tilt, shorter operation time and postoperative quiet eye.