Methods of Transscleral Fixation of Intraocular Lenses (Literature Review)

Abstract

To date, the choice of the optimal method of intraocular lens fixation in patients with weakness of the ligamentous-capsular apparatus of the lens remains an urgent problem of ophthalmic surgery. There are various methods of intraocular lens fixation, including pupillary, iris, sclera in the projection of the ciliary sulcus, anterior chamber fixation and others. The literature review allowed us to evaluate the advantages and disadvantages of each of the listed methods of intraocular lens fixation. Transscleral fixation is the most physiologic and anatomically correct. The most common variants of suture and sutureless transscleral fixation are discussed in this review. The lack of sufficient evidence on the superiority of this or that method of fixation allows us to continue the search in this direction.

Keywords

• intraocular lens (iol)
• transscleral iol fixation
• iol repositioning
• iol dislocation
• ciliary sulcus