AUTHOR=Ye Hongfei , Wu Mengxiao , Sun Wan , Lyu Jiao , Xu Yu , Fei Ping , Peng Jie , Jin Haiying , Zhao Peiquan 

TITLE=Clinical observation of a modified technique for intrascleral fixation of flanged three-piece foldable intraocular lenses through a Hoffman pocket

JOURNAL=Frontiers in Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1382100

DOI=10.3389/fmed.2024.1382100

ISSN=2296-858X

ABSTRACT=<sec id="sec1"><title>Purpose</title><p>To present the outcomes of a new technique for intrascleral fixation of a flanged three-piece foldable intraocular lens (IOL) without a conjunctival incision.</p></sec><sec id="sec2"><title>Materials and methods</title><p>We retrospectively reviewed a consecutive series of 12 eyes of 12 patients who underwent scleral IOL fixation using this technique.</p></sec><sec id="sec3"><title>Results</title><p>The follow-up period ranged 3–12 months. There was a significant improvement in best-corrected visual acuity, from 0.8 (1.6) logarithm of the minimum angle of resolution (logMAR) preoperatively to 0.45 (0.8) logMAR at the final postoperative follow-up (<italic>p</italic> = 0.012). Notable complications included one case of pupillary IOL capture and increased intraocular pressure.</p></sec><sec id="sec4"><title>Conclusion</title><p>Our novel technique is a viable solution for managing secondary IOL fixation, enabling the use of a wider variety of IOLs and simplifying the reposition process for dislocated three-piece IOLs. This approach has the potential to lower complication rates and enhance patients’ recovery.</p></sec>