H Rouhette1, F Meyer2, S Pommier3, M Benzerroug4, E Denion5, S Guigou2, U Lorenzi6, C Mazit4, P-Y Mérité2, O Rebollo7. 1. Collectif P1.5, 80, allée des Ormes, 06250 Mougins, France; Centre ophtalmologique, Hôpital Privé Arnault Tzanck Mougins Sophia-Antipolis, 80, allée des Ormes, 06250 Mougins, France. Electronic address: docteur.rouhette@orange.fr. 2. Collectif P1.5, 80, allée des Ormes, 06250 Mougins, France; AixVision, 44, avenue Maréchal-de-Lattre-de-Tassigny, 13090 Aix-en-Provence, France. 3. Collectif P1.5, 80, allée des Ormes, 06250 Mougins, France; Centre Atlas Vision - Centre d'ophtalmologie du Pays des Sorgues, 1, bis Quai Lices Berthelot, 84800 L'Isle-sur-la-Sorgue, France. 4. Centre rétine Anjou, clinique de l'Anjou, 140, avenue de Lattre-de-Tassigny, 49044 Angers cedex 01, France. 5. Collectif P1.5, 80, allée des Ormes, 06250 Mougins, France; Centre d'ophtalmologie, 1, rue Jean-Bernard, 85340 Olonne-sur-Mer, France. 6. Collectif P1.5, 80, allée des Ormes, 06250 Mougins, France; CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen, France. 7. Collectif P1.5, 80, allée des Ormes, 06250 Mougins, France; Centre Rétine Sud, 2, place de l'Europe, 34430 Saint-Jean-de-Védas, France.
Abstract
PURPOSE: Lacking a standard technique, the surgical management of aphakia without capsular support remains to be optimized. The goal of this study is to analyze results for the Carlevale FIL-SSF intraocular lens and propose surgical recommendations. PATIENTS AND METHODS: The P1.5 Collective performed a retrospective analysis, with a minimum follow-up of 6 months, of the records of 72 implantations of the Carlevale FIL-SSF intraocular lens, specifically designed for sutureless scleral fixation in the ciliary sulcus. RESULTS: The most common indication was exchange of a posterior chamber intraocular lens (70.8%). The surgery lasted a mean of 53.4minutes due to the creation of scleral flaps. The implant was damaged in 12.5% of cases. Visual acuity was improved in 83.3% of cases. The postoperative spherical equivalent was -0.3 diopters, with no change in corneal astigmatism. The implant was centered and stable in all cases. Two cases (2.8%) of cystoid macular edema were observed and resolved over six months. DISCUSSION: A number of advantages of the Carlevale FIL-SSF intraocular lens make it a safe and effective solution for correction of aphakia in the absence of capsular support. It requires a longer than usual surgical procedure, and the implant must be handled with care. From their experience, the authors propose 7 recommendations to accelerate the learning curve. CONCLUSION: In light of the results of this study, we propose the Carlevale FIL-SSF intraocular lens as the new standard for the correction of aphakia without capsular support, but other studies are necessary to determine its exact place within the heirarchy of other available techniques.
PURPOSE: Lacking a standard technique, the surgical management of aphakia without capsular support remains to be optimized. The goal of this study is to analyze results for the Carlevale FIL-SSF intraocular lens and propose surgical recommendations. PATIENTS AND METHODS: The P1.5 Collective performed a retrospective analysis, with a minimum follow-up of 6 months, of the records of 72 implantations of the Carlevale FIL-SSF intraocular lens, specifically designed for sutureless scleral fixation in the ciliary sulcus. RESULTS: The most common indication was exchange of a posterior chamber intraocular lens (70.8%). The surgery lasted a mean of 53.4minutes due to the creation of scleral flaps. The implant was damaged in 12.5% of cases. Visual acuity was improved in 83.3% of cases. The postoperative spherical equivalent was -0.3 diopters, with no change in corneal astigmatism. The implant was centered and stable in all cases. Two cases (2.8%) of cystoid macular edema were observed and resolved over six months. DISCUSSION: A number of advantages of the Carlevale FIL-SSF intraocular lens make it a safe and effective solution for correction of aphakia in the absence of capsular support. It requires a longer than usual surgical procedure, and the implant must be handled with care. From their experience, the authors propose 7 recommendations to accelerate the learning curve. CONCLUSION: In light of the results of this study, we propose the Carlevale FIL-SSF intraocular lens as the new standard for the correction of aphakia without capsular support, but other studies are necessary to determine its exact place within the heirarchy of other available techniques.