{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:57:59Z","timestamp":1777946279526,"version":"3.51.4"},"reference-count":18,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T00:00:00Z","timestamp":1672012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Purpose: To compare the refractive results between sutureless scleral fixation intraocular lens (IOLs) (Carlevale, Soleko) and suture-free scleral fixation three-piece IOLs (Sensar AR40, Johnson &amp; Johnson) for secondary implantation in patients with IOL dislocation or aphakia. Methods: This is a monocentric retrospective study on 28 patients (28 eyes) with sutureless scleral fixation Carlevale IOL and 25 patients (25 eyes) with suture-free scleral fixation three-piece IOL. Best-corrected visual acuity (BCVA) evaluation, refractive measures and IOL tilt evaluation with anterior segment optical coherence tomography were conducted at one, three, six and twelve months after surgery. Point Spread Function (PSF) was measured using a total ocular aberrometer. Results: BCVA in both groups improved since the postoperative visit at 1 month and reached a stable value at 3 months At month 12, mean BCVA was 0.23 logMAR in group one and 0.32 logMAR in group two. Mean IOL tilt angle at 12 months was 2.76\u00b0 \u00b1 1.87 in group one and 2.51\u00b0 \u00b1 1.80 in group two. PSF at 12 months was 0.18 \u00b1 0.09 in group one and 0.15 \u00b1 0.05 in group two. There were no statistically significant differences (p &gt; 0.05) for all comparisons. The post-operative complications were similar within the two groups. Conclusions: Our results show that secondary IOL implantation has similar visual and surgical outcomes when a sutureless Carlevale lens scleral fixation and a suture-free scleral fixation three-piece IOL are used.<\/jats:p>","DOI":"10.3390\/jcm12010188","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T02:55:07Z","timestamp":1672109707000},"page":"188","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of Visual and Aberrometric Outcomes in Suture-Free Scleral Fixation: Three-Piece Lenses versus Carlevale Lenses"],"prefix":"10.3390","volume":"12","author":[{"given":"Fabrizio","family":"Franco","sequence":"first","affiliation":[{"name":"Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, 50139 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6629-0712","authenticated-orcid":false,"given":"Federica","family":"Serino","sequence":"additional","affiliation":[{"name":"Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, 50139 Florence, Italy"},{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7646-7422","authenticated-orcid":false,"given":"Giulio","family":"Vicini","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy"},{"name":"Azienda USL Toscana Nord Ovest, 56121 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Nicolosi","sequence":"additional","affiliation":[{"name":"Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, 50139 Florence, Italy"},{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Giansanti","sequence":"additional","affiliation":[{"name":"Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, 50139 Florence, Italy"},{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50139 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s00417-018-4178-3","article-title":"Secondary intraocular lens implantation: A large retrospective analysis","volume":"257","author":"Vounotrypidis","year":"2018","journal-title":"Graefe\u2019s Arch. Clin. Exp. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Lee, G.-I., Lim, D.H., Chi, S.A., Kim, S.W., Han, J., Shin, D.W., and Chung, T.-Y. (2021). Incidence and Characteristics of Intraocular Lens Dislocation after Phacoemulsification: An Eight-Year, Nationwide, Population-Based Study. J. Clin. Med., 10.","DOI":"10.3390\/jcm10173830"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/ICU.0000000000000632","article-title":"Scleral fixation of intraocular lenses","volume":"31","author":"Jacob","year":"2020","journal-title":"Curr. Opin. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/S0161-6420(91)32275-9","article-title":"Astigmatism after small incision cataract surgery. A prospective, randomized, mul-ticenter comparison of 4- and 6.5-mm incisions","volume":"98","author":"Steinert","year":"1991","journal-title":"Ophthalmology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e26728","DOI":"10.1097\/MD.0000000000026728","article-title":"Comparison of two different scleral fixation techniques of posterior chamber Carlevale lens","volume":"100","author":"Fiore","year":"2021","journal-title":"Medicine"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.jfo.2021.05.002","article-title":"FIL-SSF Carlevale intraocular lens for sutureless scleral fixation: 7 recommendations from a serie of 72 cases. MICA study (Multicentric Study of the Carlevale IOL)","volume":"44","author":"Rouhette","year":"2021","journal-title":"J. Fran\u00e7ais D\u2019Ophtalmologie"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ophtha.2013.08.043","article-title":"Sutureless 27-Gauge Needle\u2013Guided Intrascleral Intraocular Lens Implantation with Lamellar Scleral Dissection","volume":"121","author":"Yamane","year":"2014","journal-title":"Ophthalmology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/j.jcrs.2007.07.013","article-title":"Sutureless intrascleral posterior chamber intraocular lens fixation","volume":"33","author":"Gabor","year":"2007","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jcrs.2008.04.040","article-title":"Fibrin glue\u2013assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules","volume":"34","author":"Agarwal","year":"2008","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.jcrs.2016.12.024","article-title":"Secondary intraocular lens implantation: Complication rates, visual acuity, and refractive outcomes","volume":"43","author":"Brunin","year":"2017","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Ashena, Z., Maqsood, S., Ahmed, S., and Nanavaty, M. (2020). Effect of Intraocular Lens Tilt and Decentration on Visual Acuity, Dysphotopsia and Wavefront Aberrations. Vision, 4.","DOI":"10.3390\/vision4030041"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"68","DOI":"10.3126\/nepjoph.v3i1.4281","article-title":"Intraocular lens tilt and decentration: A concern for contemporary IOL designs","volume":"3","author":"Ale","year":"1970","journal-title":"Nepal. J. Ophthalmol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1097\/j.jcrs.0000000000000135","article-title":"Trans-scleral plugs fixated IOL: A new paradigm for sutureless scleral fixation","volume":"46","author":"Barca","year":"2020","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2947","DOI":"10.1177\/1120672121991358","article-title":"A novel approach for scleral fixation using Carlevale lens","volume":"31","author":"Fiore","year":"2021","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"3639","DOI":"10.12998\/wjcc.v10.i12.3639","article-title":"Tilt and decentration with various intraocular lenses: A narrative review","volume":"10","author":"Chen","year":"2022","journal-title":"World J. Clin. Cases"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1016\/j.ophtha.2010.03.078","article-title":"IOL Tilt and Decentration","volume":"117","author":"Choi","year":"2010","journal-title":"Ophthalmology"},{"key":"ref_17","first-page":"1365","article-title":"Sutureless scleral fixation: Comparison between 3-piece IOL and new single-piece foldable IOL","volume":"259","author":"Parrulli","year":"2020","journal-title":"Graefe\u2019s Arch. Clin. Exp. Ophthalmol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1177\/0300060518799004","article-title":"Cystoid macular oedema and iris-fixated intraocular lens treated with intraocular lens exchange: A case series and review","volume":"47","author":"Massa","year":"2018","journal-title":"J. Int. Med Res."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/1\/188\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:52:03Z","timestamp":1760147523000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/1\/188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,26]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["jcm12010188"],"URL":"https:\/\/doi.org\/10.3390\/jcm12010188","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,26]]}}}