Prevention or management strategies for complications of the Carlevale intraocular lens fixation in aphakic eyes without capsular support in older patients: a systematic review

Dervenis, Nikolaos1,*; Dervenis, Panagiotis2

1Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK

2Moorfields Eye Hospital NHS Foundation Trust, London, UK

*Correspondence to: Nikolaos Dervenis, MD, MSc, PhD, FEBO, nikosdervenis@gmail.com.

Abstract

Cataract is a major age-related eye disease. Despite the progress achieved in its management over the last few decades, intraocular lens fixation options for aphakic eyes without capsular support in older patients have been unsatisfactory, as they are associated with significant complications. The management of cataracts and aphakia is particularly important in older patients, who often face increased surgical risks and complications. The Carlevale intraocular lens is a specially designed one-piece intraocular lens for scleral fixation in such cases. It overcomes many of the limitations of preexisting lenses and techniques. We systematically searched the literature to review the main intra- and postoperative complications of this new intraocular lens. The Carlevale intraocular lens has a favorable complication profile, and many of these can be prevented or easily managed. Carlevale intraocular lens fixation has important clinical implications for improving patients’ vision and quality of life, especially in older aphakic patients. Therefore, it holds the promise of becoming the new gold standard in the management of the aphakic eye without capsular support in older patients.

无晶状体囊膜支撑白内障老年患者行Carlevale人工晶状体固定：并发症的预防或处理策略的系统综述

摘要

白内障是一种与年龄相关的眼病，尽管过去几十年来在白内障的治疗方面取得了进展，但老年患者在无囊支持的情况下进行人工晶体固定的方案并不令人满意，因为这些方案会产生严重的并发症。白内障和无晶状体的管理对老年患者尤为重要，因为他们往往面临更高的手术风险和并发症。Carlevale人工晶体是一种专门设计的一体式人工晶体，可用于此类病例的巩膜固定，它克服了现有晶体和技术的许多局限性。文章对这种新型人工晶体的主要术中和术后并发症进行了回顾和总结。Carlevale人工晶体许多并发症是可以预防或容易控制的。Carlevale人工晶体固定对改善患者视力和生活质量具有重要的临床意义，尤其是对老年无晶体状眼患者。因此，它有望成为治疗老年无晶状体囊膜支撑眼的新黄金标准。