Refining delivery and positioning: A modified approach to FIL SSF intraocular lens implantation using the "full reverse" technique.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

European Journal of Ophthalmology Pub Date : 2024-10-15 DOI:10.1177/11206721241291106

Enea Chisci, Giulia Torregrossa, Salvatore Torregrossa, Alberto La Mantia

{"title":"Refining delivery and positioning: A modified approach to FIL SSF intraocular lens implantation using the \"full reverse\" technique.","authors":"Enea Chisci, Giulia Torregrossa, Salvatore Torregrossa, Alberto La Mantia","doi":"10.1177/11206721241291106","DOIUrl":null,"url":null,"abstract":"Purpose: To present a modified surgical technique for implantation of the sutureless scleral-fixated hydrophilic intraocular lens (FIL SSF).Methods: Single surgeon retrospective case series and review of surgical videos with step-by-step technique analysis. Uncorrected and best corrected visual acuity (UCVA and BCVA), refractive error (spherical equivalent), full clinical examination with intraocular pressure (IOP) measurement, endothelial cell density on corneal specular microscopy and macular optical coherence tomography (OCT) were recorded at baseline, 1, 4 and 8 weeks postoperatively.Results: The FIL SSF IOLs were successfully implanted using the so-called \"full reverse\" technique, having the lens loaded in the injector in an upside-down fashion, as opposed to IOL technical specifications. In all cases, the FIL SSF IOL was properly placed in the ciliary sulcus, well-centered and without signs of tilt. Follow up figures at 2 months are consistent with published data, confirming the potential benefits of the new implantation technique.Conclusion: In our preliminary experience, the \"full reverse\" technique of the FIL SSF IOL has proven effective in preventing incorrect IOL orientation in 100% of cases. However, larger prospective controlled studies and longer follow up are required to either support or disprove our results.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11206721241291106","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To present a modified surgical technique for implantation of the sutureless scleral-fixated hydrophilic intraocular lens (FIL SSF).

Methods: Single surgeon retrospective case series and review of surgical videos with step-by-step technique analysis. Uncorrected and best corrected visual acuity (UCVA and BCVA), refractive error (spherical equivalent), full clinical examination with intraocular pressure (IOP) measurement, endothelial cell density on corneal specular microscopy and macular optical coherence tomography (OCT) were recorded at baseline, 1, 4 and 8 weeks postoperatively.

Results: The FIL SSF IOLs were successfully implanted using the so-called "full reverse" technique, having the lens loaded in the injector in an upside-down fashion, as opposed to IOL technical specifications. In all cases, the FIL SSF IOL was properly placed in the ciliary sulcus, well-centered and without signs of tilt. Follow up figures at 2 months are consistent with published data, confirming the potential benefits of the new implantation technique.

Conclusion: In our preliminary experience, the "full reverse" technique of the FIL SSF IOL has proven effective in preventing incorrect IOL orientation in 100% of cases. However, larger prospective controlled studies and longer follow up are required to either support or disprove our results.

查看原文本刊更多论文

改进输送和定位：使用 "完全反向 "技术进行 FIL SSF 眼内透镜植入的改良方法。

目的：介绍一种植入无缝线巩膜固定亲水人工晶体（FIL SSF）的改良手术技术：方法：单个外科医生回顾性病例系列，回顾手术视频并进行逐步技术分析。在基线、术后 1 周、4 周和 8 周记录未矫正和最佳矫正视力（UCVA 和 BCVA）、屈光不正（球面等效）、眼压（IOP）测量的全面临床检查、角膜镜检查的内皮细胞密度以及黄斑光学相干断层扫描（OCT）：使用所谓的 "完全反向 "技术成功植入了 FIL SSF 人工晶体，与人工晶体技术规范相反，该技术是将晶体倒置装入注射器。在所有病例中，FIL SSF 人工晶体都正确放置在睫状沟内，居中且无倾斜迹象。2 个月的随访数据与已公布的数据一致，证实了新植入技术的潜在优势：根据我们的初步经验，FIL SSF 人工晶体的 "完全反向 "技术已被证明能有效防止 100%的人工晶体定向错误。不过，还需要更大规模的前瞻性对照研究和更长时间的随访来支持或反驳我们的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.