Asset Details
Do you wish to reserve the book?
Novel wolf-toothed forceps for single-piece intraocular lens scleral fixation in astigmatic aphakic eyes
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Novel wolf-toothed forceps for single-piece intraocular lens scleral fixation in astigmatic aphakic eyes
Do you wish to request the book?
Novel wolf-toothed forceps for single-piece intraocular lens scleral fixation in astigmatic aphakic eyes
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Novel wolf-toothed forceps for single-piece intraocular lens scleral fixation in astigmatic aphakic eyes
2025
Overview
This study introduces an innovative surgical instrument, the “wolf-toothed forceps,” and evaluates its clinical application in conjunction with the Z.S. fixation technique for managing aphakic eyes with significant corneal astigmatism lacking lens capsule support. This was a pilot, case series, and interventional study. The novel “wolf-toothed forceps,” integrated with the Z.S. fixation technique, was applied to astigmatic aphakic eyes requiring secondary toric intraocular lens (IOL) implantation. Ophthalmological examinations were performed in all patients, including slit-lamp photography and swept-source optical coherence tomography, for quantitative assessment of toric IOL position. The visual acuity measurements were converted to the logarithm of the minimum angle of resolution (log MAR) units for analysis. Eleven eyes of 11 patients with significant corneal astigmatism (1.58 ± 0.52 diopters [D]) lacking lens capsule support were enrolled. At 1-month visit postoperatively, the outcomes demonstrated significant visual improvement, with the uncorrected distance visual acuity (UDVA) of 0.47 ± 0.26 log MAR, and the best-corrected visual acuity (BCVA) of 0.29 ± 1.23 log MAR. Refractive outcomes showed excellent astigmatic correction, reducing mean whole-eye residual astigmatism to 0.30 ± 0.28 D (
P
< 0.001). The swept-source optical coherence tomography showed favorable stability (tilt: 5.12 ± 1.27°; decentration: 0.25 ± 0.14 mm). During the 6-month follow-up period, no severe complications related to the novel “wolf-toothed forceps” or Z.S. fixation technique were found. Our pilot study demonstrates that the wolf-toothed forceps combined with Z.S. fixation technique provides effective and safe single-piece toric IOL scleral fixation in complex aphakic eyes with significant corneal astigmatism lacking lens capsule support, achieving predictable refractive correction and stable visual rehabilitation without serious postoperative complications. The technique shows particular promise for cases where traditional IOL scleral fixation is not feasible.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
/ Acuity
/ Adult
/ Aged
/ Cornea
/ Eye
/ Female
/ Haptics
/ Humanities and Social Sciences
/ Humans
/ Intraocular lens scleral fixation
/ Lens Implantation, Intraocular - instrumentation
/ Lens Implantation, Intraocular - methods
/ Male
/ Science
/ Single-piece intraocular lens
/ Surgery
/ Sutures
/ Teeth
