Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India Tufts University School of Medicine, Boston, Massachusetts, USA.
Curr Opin Ophthalmol. 2020 Jan;31(1):50-60. doi: 10.1097/ICU.0000000000000632.
To review current, effective and more popular techniques for scleral fixation of intraocular lens (IOLs) and IOL-capsular bag complex.
Scleral fixation of IOLs became popular, originally with sutured scleral fixated IOLs and later the Scharioth technique of intrascleral haptic fixation. This was further developed as the Glued IOL technique which enjoys widespread adoption all over the world. Recently the Yamane technique has also become popular and is being widely adopted as well.
Scleral fixated IOLs have evolved in the last 2 decades with technical modifications, extended indications and improvised instrumentation. Though sutured and sutureless techniques have been growing equally, the sutureless scleral fixation techniques have attracted special interest. Reduced suture-related complications, technical ease and high-quality functional outcomes may be possible reasons. Sutureless capsular bag fixation also has distinct advantages.
回顾目前用于巩膜固定眼内透镜（IOL）和 IOL-囊袋复合体的有效且更受欢迎的技术。
IOL 的巩膜固定术最初是用缝线固定的巩膜固定 IOL 和后来的 Scharioth 技术进行巩膜襻固定，后来发展为 Glued IOL 技术，在全球范围内得到广泛应用。最近，Yamane 技术也变得流行起来，并得到了广泛的应用。
在过去的 20 年中，巩膜固定 IOL 经历了技术改进、适应证扩展和仪器改进。尽管缝线和无缝线技术都在不断发展，但无缝线巩膜固定技术引起了特别的关注。减少与缝线相关的并发症、技术上的简便性和高质量的功能结果可能是其原因。无缝线囊袋固定也有明显的优势。
