Barbieri Francesca, Maglionico Maria Novella, Casini Giamberto, Guidi Gianluca, Figus Michele, Posarelli Chiara
Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.
Ophthalmology, Department of Medical and Surgical Specialties, Azienda Ospedaliero Universitaria Pisana, 56124 Pisa, Italy.
J Clin Med. 2024 Jun 3;13(11):3287. doi: 10.3390/jcm13113287.
: The Carlevale lens (FIL SSF, Soleko IOL Division, Italy) is a new lens for suture-less scleral fixation. This paper aimed to systematically review articles on this lens, the surgical techniques used for its implantation, complications and outcomes. : This systematic review was performed following the PRISMA guidelines. The search string used was "Carlevale" AND "scleral fixation" from inception until March 2024. For completeness, either case-control studies, case reports or case series written in English were included. The authors used the Newcastle-Ottawa scale for the case-control studies and the JBI Critical Appraisal Checklist for case reports and case series. : Twenty-nine articles were included. Scleral fixation with Carlevale lens can be performed by creating scleral flaps or, alternatively, by using scleral pockets. The two sclerotomies must be diametrically opposed, and are preferably created by 25-gauge trocars. A pars plana vitrectomy should be performed every time, and the design of the lens should be suitable for self-anchoring to the sclera; the most accredited strategy to achieve this is to avoid scleral sutures. There were only a few intraoperative and postoperative complications reported; vitreous hemorrhages were the most frequent intraoperative events, while the most relevant postoperative complications were vitreous hemorrhages, cystoid macular oedema and transient variations in the intraocular pressure. Excellent results have been obtained in terms of BCVA, IOL centration and stability, mean intraocular pressure, postoperative spherical equivalent, separation between anterior and posterior chamber and the distance of the IOL from anterior chamber structures. : The foldable hydrophilic design of the Carlevale lens has shown good effectiveness, IOL stability and few intra and post-operative complications.
卡莱瓦莱晶状体（FIL SSF，意大利索莱科人工晶状体部门）是一种用于无缝线巩膜固定的新型晶状体。本文旨在系统回顾关于该晶状体、其植入所使用的手术技术、并发症及结果的文章。：本系统评价按照PRISMA指南进行。使用的检索词为从创刊至2024年3月的“卡莱瓦莱”和“巩膜固定”。为确保完整性，纳入了用英文撰写的病例对照研究、病例报告或病例系列。作者对病例对照研究使用了纽卡斯尔 - 渥太华量表，对病例报告和病例系列使用了JBI批判性评价清单。：纳入了29篇文章。使用卡莱瓦莱晶状体进行巩膜固定可通过制作巩膜瓣或使用巩膜袋来完成。两个巩膜切口必须 diametrically opposed，最好由25G套管针制作。每次都应进行玻璃体切除术，并且晶状体的设计应适合于自行锚定在巩膜上；实现这一点最认可的策略是避免巩膜缝合。报告的术中及术后并发症仅有少数；玻璃体出血是最常见的术中事件，而最相关的术后并发症是玻璃体出血、黄斑囊样水肿和眼压短暂变化。在最佳矫正视力、人工晶状体居中和稳定性、平均眼压、术后球镜等效度、前后房分离以及人工晶状体与前房结构的距离方面均取得了优异结果。：卡莱瓦莱晶状体的可折叠亲水性设计已显示出良好的有效性、人工晶状体稳定性以及较少的术中及术后并发症。
