From the Institut Catala de Retina, Barcelona, Spain.
J Cataract Refract Surg. 2021 Nov 1;47(11):e34-e36. doi: 10.1097/j.jcrs.0000000000000579.
Surgical management of haptic extrusion of an intrascleral sutureless-fixated intraocular lens (IOL) (FIL-SSF Carlevale, Soleko) by repositioning the IOL without lens extraction was reported. The patient presented an early extrusion of both IOL harpoons just 4 weeks after the initial surgery. New scleral flaps were created 30 degrees superior to the nasal harpoon and 30 degrees inferior to the temporal harpoon so that the IOL was rotated clockwise. Each haptic was grasped with a 25-gauge forceps and introduced into the vitreous cavity and regrasped with another forceps through a new port, 1.5 mm posterior to the limbus, and underneath a new scleral flap. The Carlevale IOL is specially designed for sutureless intrascleral fixation with excellent anatomic and visual results but may also show specific complications. To the authors' knowledge, this is the first report on how to efficiently manage harpoon erosion using this simple technique.
报道了一例通过重新定位 IOL 而无需取出晶状体来处理巩膜无缝线固定的眼内人工晶状体（IOL）（FIL-SSF Carlevale，Soleko）的触觉突出的手术治疗。患者在初次手术后仅 4 周就出现了两个 IOL 倒钩的早期突出。在鼻侧倒钩上方 30 度和颞侧倒钩下方 30 度处创建新的巩膜瓣，使 IOL 顺时针旋转。用 25 号镊子夹住每个触觉，将其引入玻璃体腔，然后通过新的位于角膜缘后 1.5 毫米和新巩膜瓣下方的端口，用另一个镊子重新夹住。Carlevale IOL 专为巩膜无缝线固定而设计，具有出色的解剖和视觉效果，但也可能显示出特定的并发症。据作者所知，这是首次报道如何使用这种简单的技术有效地处理倒钩侵蚀。
