Fibrin glue–assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules

TLDR

The study introduces a fibrin glue–assisted, sutureless technique for implanting a posterior chamber intraocular lens in eyes lacking a posterior capsule. The technique involves creating two partial‑thickness limbal‑based scleral flaps 180° apart, externalizing the IOL haptics beneath them, and securing them to the scleral bed with fibrin glue. The method yields secure flap closure, centered and stable IOL placement, and avoids suture‑related complications without needing specialized haptics.

Abstract

We report a new surgical technique that uses biological glue to implant a posterior chamber intraocular lens (PC IOL) in eyes with a deficient or absent posterior capsule. Two partial-thickness limbal-based scleral flaps are made 180 degrees apart diagonally, and the haptics of the PC IOL are externalized to place them beneath the flaps. Fibrin glue is used to attach the haptics to the scleral bed, beneath the flap. This simple method of PC IOL implantation requires no specially designed haptics. It provides good flap closure and IOL centration and stability without suture-related complications.