Scleral Fixation of a Single-Piece Multifocal Intraocular Lens

Abstract

Purpose. We describe an ab interno technique for injector implantation of a one-piece multifocal intraocular lens (IOL). Methods. Transscleral fixation of multifocal posterior chamber IOL implantation using an injector with ab interno technique was performed in an eye of a 9-year-old girl who had undergone pars plana lensectomy 2 years before for bilateral lens subluxation with unknown etiology. Results. No major complications were encountered during a 3-month follow-up of the patient and excellent centration was observed during the follow-up period. Her preoperative best spectaclecorrected distance visual acuity of 20/32 improved to uncorrected distance visual acuity of 20/25. Conclusions. Closed-loop design of IOL served the function of eyelets and position of the IOL was provided using only a 2-point fixation. Intraoperative position adjustment of the IOL provided an excellent centralization of multifocal IOL. © 2013 Wichtig Editore.