LAUSR

PURPOSE To demonstrate possible complications of a new IOL (intraocular lens) for sutureless secondary scleral implantation and modifications of the surgical technique to optimise outcomes. METHODS Retrospective study of 16 eyes (16 patients) who underwent a secondary IOL implantation using the Carlevale IOL (Soleko, Italy) with two anchor haptics for intrascleral implantation (mean follow-up 2.2 months). RESULTS Visual acuity did not improve statistically significantly postoperatively (p = 0.601). Seven (44 %) patients suffered from postoperative hypotonia (intraocular pressure < 5 mmHg) during the first three postoperative days. CONCLUSION Due to the early postoperative hypotony, we decided to modify the surgical technique. We present several suggestions to optimize the technique and outcome like positioning the sclerotomies at the 2 and 8 o'clock positions, using 27 G trocars only and suturing the frown incisions using self-resorbing sutures.