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    Flanged fixation secures IOL haptics within the sclera

    Flanged IOL fixation is a simple, minimally invasive, and effective technique for transconjunctival intrascleral fixation of a three-piece IOL, said Shin Yamane, MD, PhD, at the inaugural Retina World Congress.

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    Reporting clinical outcomes from a prospective, noncomparative, interventional case series that included 100 eyes of 97 patients, Dr. Yamane concluded that the novel fixation method provided good IOL fixation along with firm haptic fixation.

    “At follow-up to 6 months, the mean refractive difference from the predicted value calculated with the SRK/T formula was only -0.21 D, and mean IOL tilt measured by swept-source optical coherence tomography was only 3.44º,” said Dr. Yamane, assistant professor, Department of Ophthalmology and Micro-technology, Yokohama City University Medical Center, Yokohama, Japan.

    “There have been no cases of IOL dislocation after surgery,” Dr. Yamane added.

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    Kouros A. Rezaei, MD, who was a co-chair of the session, commented, “This is a very elegant technique."

    "One of the biggest challenges for scleral-fixated IOLs is that the haptic breaks during manipulation, and this technique will prevent that from happening,” said Dr. Rezaei, associate professor of ophthalmology, Rush University Medical Center, Chicago.

    Novel fixation procedure

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