Intraocular Lens Formula Comparison of Flanged Intrascleral Intraocular Lens Fixation with Double Needle Technique
Malach DS, Guest JM, Adam C, Joffe J, Le K, Kim C, and Lin X. Intraocular Lens Formula Comparison of Flanged Intrascleral Intraocular Lens Fixation with Double Needle Technique. Clin Ophthalmol 2023; 17:837-842.
PURPOSE: To analyze visual outcomes and accuracy of intraocular lens (IOL) calculation formulas in predicting postoperative outcomes in patients undergoing flanged intrascleral IOL fixation.
DESIGN: Case Series.
SUBJECTS: Twenty-three patients who had undergone secondary IOL placement using flanged intrascleral fixation technique.
METHODS: Retrospective chart review.
MAIN OUTCOME MEASURES: Corrected distance visual acuity (CDVA) and postoperative spherical equivalent based on manifest refraction.
RESULTS: Visual acuity improved from 20/577 to 20/58. Overall, the actual refraction was 0.06 D more myopic than predicted. Holladay 2, Sanders Retzlaff Kraff/Theoretical (SRK/T) and Barrett Universal II resulted in mild myopic surprise (-0.55, -0.18 and -0.20 D). Haigis and Hill-RBF (Radial Basis Function) resulted in mild hyperopic surprise (+0.28 and +0.28 D). Hoffer Q and Holladay 1 were the most accurate (-0.02D and -0.08 D).
CONCLUSION: Flanged intrascleral IOL fixation improved vision even in patients with other posterior segment pathologies. The effective lens positioning is likely similar to in-the-bag positioning. Hoffer Q and Holladay 1 formulas with in-the-bag calculations were the most accurate.