Description:
<jats:title>Abstract</jats:title><jats:sec>
<jats:title>Purpose</jats:title>
<jats:p>To report a novel surgical approach for the scleral fixation of the Rayner 620 H intraocular lens (IOL) with Gore-Tex suture and its outcomes at 6 months postoperatively.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>19 consecutive patients who underwent novel surgical approach for the scleral fixation of Rayner 620 H IOL with Gore-Tex suture at Peking Union Medical College Hospital between June 2020 and June 2021 were included. Data on best-corrected visual acuity (BCVA), spherical equivalent, total astigmatism/axis, short-term and long-term complications, and corresponding management with a follow-up of 6 months were collected.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>Nineteen patients (11 men and 8 women) with a mean age of 62.7 ± 10.6 years were included. The median BCVA improved significantly from 0.90 ± 0.90 (Snellen 20/160) preoperatively to 0.20 ± 0.30 (Snellen 20/32) at postoperative 6 months follow-up (<jats:italic>P</jats:italic> < 0.001). The stratification of the accuracy of refractive outcomes was 53% of patients within ± 0.5 D and 84% of patients within ± 1.0 D of the refractive target. Corneal edema (<jats:italic>n</jats:italic> = 3, 16%) and increased intraocular pressure (IOP) (<jats:italic>n</jats:italic> = 4, 11%) were short-term complications. Long-term complications included increased IOP (<jats:italic>n</jats:italic> = 1, 5%), and macular edema (<jats:italic>n</jats:italic> = 1, 5%).</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>The novel surgical approach for scleral fixation of the Rayner 620 H IOL with Gore-Tex suture is a reasonable option for patients who need secondary IOL placement without adequate capsular support.</jats:p>
</jats:sec>