Secondary Intraocular Lens Implantation with Flanged Intrascleral Fixation in Aphakia Patient

Cataracts are a leading cause of blindness globally, with surgery being the most effective treatment. While phacoemulsification is the standard procedure in developed nations, cases involving inadequate capsular support, such as aphakia, present unique challenges. The flanged intrascleral fixation technique has emerged as a promising solution, offering enhanced stability and reduced complications compared to traditional methods like scleral-sutured intraocular lenses (IOLs). This case report explores the implementation of this innovative technique in an elderly patient with aphakia. A 78-year-old woman with blurred vision and aphakia in her left eye was referred for IOL implantation. Following previous cataract surgery without lens implantation, she required a stable and durable solution. Using the flanged intrascleral fixation method, a 3 mm sclerocorneal tunnel was created, and a 5.0 polypropylene suture was inserted through the IOL fixation hole. The flange procedure stabilized the lens, ensuring precise positioning. The surgery was completed with minimal bleeding, and postoperative care included antibiotics and pressure-reducing agents. Follow-up confirmed successful IOL placement with no complications, highlighting the technique’s efficacy. The flanged haptic technique represents a significant advancement in cataract surgery, particularly for patients with aphakia and insufficient capsular support. By simplifying the procedure and minimizing risks such as dislocation and inflammation, it offers improved surgical outcomes. Continued research into this method holds promise for enhancing patient care and advancing ophthalmological practices.