Description:
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<jats:title>Background/Purpose:</jats:title>
<jats:p>To demonstrate possible complications of a new intraocular lens for sutureless secondary scleral implantation and modifications of the surgical technique to optimize outcomes.</jats:p>
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<jats:title>Methods:</jats:title>
<jats:p>A retrospective study of 16 eyes (16 patients) who underwent a secondary intraocular lens implantation using the Carlevale intraocular lens (Soleko, Italy) with two anchor haptics for intrascleral implantation (mean follow-up 2.2 months).</jats:p>
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<jats:title>Results:</jats:title>
<jats:p>The visual acuity did not improve statistically significantly postoperatively (<jats:italic toggle="yes">P</jats:italic> = 0.601). Seven (44%) patients suffered from postoperative hypotonia (intraocular pressure <5 mmHg) during the first three postoperative days.</jats:p>
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<jats:title>Conclusion:</jats:title>
<jats:p>Owing to the early postoperative hypotony, we decided to modify the surgical technique. We present several suggestions to optimize the technique and outcome such as positioning the sclerotomies at the 2 and 8 o'clock positions, using 27 G trocars alone and suturing the frown incisions using self-resorbing sutures.</jats:p>
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