Purpose: To propose a new surgical technique that involves the realization of a via ciliary sulcus vitrectomy and the implantation of a sutureless scleral fixation IOL through only two sclerotomies with 27-gauge trocar. The aim is to develop a less invasive technique, reducing the number of surgical wounds compared to the commonly used techniques.
Methods: Two 27-gauge trocars are inserted at 3 and 9 o'clock, both 2 mm from the corneal limbus. The dislocated lens or IOL is removed and an anterior and, if necessary, posterior vitrectomy is performed through the same two trocars. Finally, a three-piece IOL is inserted and a scleral fixation without suture is performed according to the modified Yamane technique, making two flanges at the ends of the IOL haptics.
Results: The reduction of the number of surgical wounds allows for a lower risk of postoperative hypotony, a lower incidence of intra and post-operative complications and less patient discomfort in the postoperative period.
Conclusions: The technique we present for the implantation of a scleral fixation IOL without suture has the advantage of reducing the number of sclerotomies required, with a view to a less invasive surgery, and allowing both an anterior and posterior vitrectomy.
Keywords: Dislocation; Flanged haptics; Minimally invasive technique; Sutureless intrascleral intraocular lens fixation, Vitrectomy, Yamane technique