Work

Snare-assisted flapless closed-loop scleral refixation of dislocated Akreos Adapt intraocular lenses

Year: 2025

Type: article

Abstract: PURPOSE: To describe a flapless, single-pass, snare-assisted technique for four-point scleral refixation of dislocated Akreos Adapt intraocular lenses (IOLs) using an 8 - 0 polypropylene suture in a closed-loop configuration. METHODS: An 8 - 0 polypropylene suture was passed through the four fenestrated haptics of the IOL using a non-sliding snare constructed from a 30-gauge thin-walled needle mounted on a 1 mL syringe. The extraocular portions of the suture were routed within the intrascleral plane between two fixation points on the same side (nasal or temporal), which are 2 mm away from the limbus, with a distance of 7 mm between the two fixation points, without conjunctival dissection or scleral flap creation. The external suture knot was buried within the scleral stroma. RESULTS: This retrospective case series included five eyes with Akreos Adapt IOLs that were completely dislocated into the vitreous cavity. All lenses were successfully fixated without intraoperative complications. At a mean follow-up of 8.4 months, all IOLs remained well-centered and stable. Best-corrected visual acuity improved in all cases. The preoperative and postoperative spherical equivalent values ranged from - 5.00 D to 11.00 D preoperatively, and from - 2.50 D to -0.50 D postoperatively. No hypotony, suture erosion, knot exposure, or IOL redislocation were observed. CONCLUSION: This technique offers a minimally invasive and reproducible method for four-point scleral fixation of dislocated Akreos Adapt IOLs, eliminating the need for conjunctival or scleral dissection and requiring no specialized instrumentation.

Source: BMC Ophthalmology

DOI: 10.1186/s12886-025-04418-9

Authors: Qing Liu, Xinlei Zhu, Lingxiao Lun, Cong Qin, Lei Wan

Institution: Shandong First Medical University

Language: English

Topic: Intraocular Surgery and Lenses

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,990