An Overview on Sutureless Scleral-Fixated IOL

Abstract

Scleral-fixated intraocular lenses (SFIOLs) are important options for visual rehabilitation in eyes lacking adequate capsular support. Traditional sutured SFIOL techniques have been associated with suture-related complications such as erosion, breakage, lens dislocation, and endophthalmitis, prompting the development of sutureless scleral fixation methods. Several techniques have evolved, including scleral flap-based and flapless approaches, with continuous modifications aiming to improve lens stability, surgical safety, and postoperative outcomes.