Flanged intraocular lens (IOL) implantation with scleral pockets - A modification of flanged IOL technique (E-Flanged IOL) for secondary lens implantation

• Published in: Indian journal of ophthalmology Vol. 70; no. 3; pp. 1047 - 1050
• Main Authors: Agrawal, Hitesh, Tyagi, Mudit, Agarwal, Komal, Rani, Padmaja
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.03.2022; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Acuity; Adult; Complications; flanged iol; haptic exposure; Humans; Intraocular lenses; iol tilting; Lens Implantation, Intraocular - methods; Lenses, Intraocular; Postoperative; Postoperative Complications - surgery; postoperative hypotony; Retrospective Studies; Sclera - surgery; scleral embedding; secondary iol; Surgical Technique; Suture Techniques; Visual Acuity; Young Adult; Flanged IOL; haptic exposure; postoperative hypotony; IOL tilting; scleral embedding; secondary IOL
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/ijo.IJO_2169_21

The current technique for implanting flanged intraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We describe a modification of the currently described technique to obviate its shortcomings. Five eyes of five patients with a minimum of 1 year of follow-up were included. In this technique, two scleral pockets were made nasal and temporal to embed the flanged haptics. The primary outcome measure was the improvement in visual acuity (VA) postoperatively and the secondary outcome measures were postoperative complications. The primary objective of this current modification is to simplify the surgical technique for secondary IOL implantation and make it more replicable and predictive. The mean age of the patients was 19.44 years. The mean preoperative VA was 0.44 logMAR which improved to 0.26 logMAR at the 6-week postoperative visit. The mean follow-up was 496+/− 80 days. The maximum follow-up was 647 days. There were no postoperative complications such as haptic exposure, hypotony, or IOL tilt in any cases. The new E-flanged IOL technique has good visual outcomes and does not have postoperative complications. It has less intraoperative manipulation and complications.