Aphakia - accessible, original technique for anchoring IOLs to the sclera

Abstract

Modern cataract surgery has long been concerned with finding a method as simple and as reproductible as possible to resolve postoperative aphakia. In the past, the easiest methods were those which involved the implantation of the artificial lens into the anterior chamber (AC), which were later followed by the iris claw Artisan IOL implant. In the past few years, however, methods of implanting the lens in the retro-irian space in the ciliary sulcus have been imagined. In our opinion, as difficult as the technique might seem, we preferred in most cases to manage the afakia by implanting the lens in the sulcus and anchoring it to the sclera. Over time, we have approached this surgical method through various techniques. We chose to present the technique that we consider efficient, fast and easily reproducible. This technique is easy, does not imply using special instruments i.e. forceps used in Schariot technique, nor special IOLs or devices used in Yamane technique. Although more time consuming, the presented technique is simple, has a very short learning curve and can be fulfillinig to less experimented surgeons.