PURPOSE OF REVIEW: To review the recent literature addressing the surgical approaches to intraocular lens (IOL) fixation in the setting of inadequate capsular support. RECENT FINDINGS: Lack of capsular support is a commonly encountered problem facing the anterior segment surgeon. Recent reports suggest that visual outcomes are generally good with modern IOLs and surgical approaches. More recently described techniques include sutureless scleral fixation and intraocular endoscopy-guided suture placement. SUMMARY: Many clinical circumstances require extracapsular IOL fixation and multiple options exist in the setting of inadequate capsular support. Ultimately, there are many factors that must be considered in selecting an appropriate surgical approach. These include ocular history as well as the skill, experience, and comfort level of the individual surgeon. The myriad of options that now exist for IOL fixation increases the likelihood that patients with a wide variety of pathologic states will attain their best possible visual outcome.
PURPOSE OF REVIEW: To review the recent literature addressing the surgical approaches to intraocular lens (IOL) fixation in the setting of inadequate capsular support. RECENT FINDINGS: Lack of capsular support is a commonly encountered problem facing the anterior segment surgeon. Recent reports suggest that visual outcomes are generally good with modern IOLs and surgical approaches. More recently described techniques include sutureless scleral fixation and intraocular endoscopy-guided suture placement. SUMMARY: Many clinical circumstances require extracapsular IOL fixation and multiple options exist in the setting of inadequate capsular support. Ultimately, there are many factors that must be considered in selecting an appropriate surgical approach. These include ocular history as well as the skill, experience, and comfort level of the individual surgeon. The myriad of options that now exist for IOL fixation increases the likelihood that patients with a wide variety of pathologic states will attain their best possible visual outcome.
Authors: Kyoung Tak Ma; Sung Yong Kang; Joo Youn Shin; Na Rae Kim; Gong Je Seong; Chan Yun Kim Journal: J Cataract Refract Surg Date: 2010-01 Impact factor: 3.351
Authors: Juan J Mura; Charles J Pavlin; Garry P Condon; Graham W Belovay; Christoph F Kranemann; Hiroshi Ishikawa; Iqbal Ike K Ahmed Journal: Am J Ophthalmol Date: 2009-11-06 Impact factor: 5.258
Authors: Yolanda Y Y Kwong; Hunter K L Yuen; Robert F Lam; Vincent Y W Lee; Srinivas K Rao; Dennis S C Lam Journal: Ophthalmology Date: 2006-10-27 Impact factor: 12.079
Authors: S M Shahid; B C Flores-Sánchez; E W Chan; R Anguita; S N Ahmed; L Wickham; D G Charteris Journal: Eye (Lond) Date: 2021-06-11 Impact factor: 3.775