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Aim of the study: Presentation of the results of Carlevale™ intraocular lens implantation with a transscleral sutureless fixation method, based on our own experience.
Material and methods: The sutureless transscleral implantation of a Carlevale™ lens was performed in 39 people (40 eyes) with postoperative aphakia after dislocation of lens, including 10 post-traumatic ones, and in one patient with a dislocated transscleral intraocular lens fixated with non-absorbable sutures. Patients were followed for 6 to 18 months.
Results: 80% of patients after surgery achieved visual acuity equal to or better than before surgery (20% achieved Snellen acuity 1.0 without correction). Intraoperative and postoperative complications were observed in slightly more than half of the patients. The most common were keratopathy, slight bleeding into the vitreous chamber, conjunctival wound dehiscence, and intraocular pressure fluctuations. Most of these complications did not have any lasting consequences.
Conclusions: Sutureless transscleral implantation of an intraocular lens seems to be an effective and relatively safe method of treating aphakia. However, the assessment of the durability of sutureless fixation requires further research.
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