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Pontecorvo, Italy) using a novel modified flapless surgical technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective study, patients older than 18 years with IOL-bag complex subluxation and a minimum follow-up of 24 months were included. At 2.5\u00a0mm from the limbus, two circumferential partial-thickness scleral grooves, 4\u00a0mm in length, were sculpted at 3 and 9 o\u2019clock with a 300 microns pre-calibrated knife. According to two different variants of the same technique \u2013 trocarless or trocar-assisted \u2212\u200925-G needles or 25-G trocars were respectively used to perforate the deep scleral grooves at the center. The FIL SSF IOL was injected through a 2.4\u00a0mm-wide corneal tunnel, and the T-shaped harpoons were gently driven out of the eye through the scleral holes and grooves. No scleral sutures were placed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 54 eyes of 54 patients were included. The mean age was 74.0\u2009\u00b1\u200914.2 years (range 31\u201396), and 40.7% were female. The mean intra-operative time was 79.9\u2009\u00b1\u200923.2\u00a0min. After 24 months from surgery (mean follow-up 25\u2009\u00b1\u20091 months), BCVA significantly improved from 0.9\u2009\u00b1\u20090.9 to 0.4\u2009\u00b1\u20090.5 LogMAR (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The mean IOP showed a downward trend from 20.1 to 17.0 mmHg, although this difference did not reach statistical significance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.083). Overall, 87.3% of patients did not present any complications after 24 months from surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This novel flapless technique for sutureless FIL SSF IOL implantation appears safe, and it may represent a valuable alternative to existing methods, offering reduced tissue manipulation, faster surgical time, and a potentially shorter learning curve. It combines the unique features of this IOL design with minimal tissue manipulation, low risk, a shorter learning curve, and reduced operative time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00417-025-07055-6","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T09:23:30Z","timestamp":1766395410000},"page":"777-784","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A novel modified flapless surgical technique for sutureless scleral fixation of FIL SSF intraocular lens: a prospective study"],"prefix":"10.1007","volume":"264","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8532-4578","authenticated-orcid":false,"given":"Danilo","family":"Iannetta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc D","family":"de Smet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Febbraro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Valsecchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Moramarco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar Matteo","family":"Gagliardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Motta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Fontana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Lambiase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"issue":"10374","key":"7055_CR1","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/S0140-6736(22)01839-6","volume":"401","author":"MV Cicinelli","year":"2023","unstructured":"Cicinelli MV, Buchan JC, Nicholson M, Varadaraj V, Khanna RC (2023) Cataracts. 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