{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:46:43Z","timestamp":1790398003907,"version":"4.1.0"},"reference-count":35,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"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>Objective: The aim of this study was to evaluate the clinical outcomes of sutureless scleral-fixated (SSF) Soleko Fil Carlevale intraocular lens (SC-IOL) implants associated with pars plana vitrectomy (PPV) in patients with aphakia secondary to complicated cataract surgery or IOL luxation nationwide. Methods: A multicenter, national, retrospective study of 268 eyes (268 patients) which underwent simultaneous PPV and SC-IOL implantation was conducted. Demographics; ocular data; pre-surgical, surgical and post-surgical details; and refractive results were collected. Intra- and postoperative complications and management details were described. Best-corrected visual acuity (BCVA), intraocular pressure (IOP) and central retinal thickness (CRT) were collected at 1 week and at 1, 3, 6 and 12 months post-surgery. Kaplan\u2013Meier curves were constructed to assess the cumulative probability of postoperative BCVA, IOP levels, macular edema (ME) and corneal decompensation. Results: The cumulative probability of final VA \u2264 0.3 logMAR was 64.4% at 12 months follow-up. The probability of IOP &gt; 21, \u226525 and \u226530 mmHg was 29.8%, 16.9% and 10.1%, respectively, and the cumulative probability of IOP-lowering treatment was 42.3% at 12 months. Glaucoma surgery was required in 3.7% of the eyes (10\/268). The cumulative probability of postoperative ME development was 26.6% at 12 months, managed with topical treatment alone (73.5%) and intravitreal injections (26.5%). Corneal transplantation was required in 3.7% of the eyes (10\/268). Conclusions: Sutureless scleral-fixated SC-IOL is an adequate therapeutic alternative in the management of aphakia with good visual results and an acceptable safety profile in routine clinical care. Longer-term studies are needed to evaluate its results and complications compared to other therapeutic alternatives.<\/jats:p>","DOI":"10.3390\/jcm14113963","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T08:51:04Z","timestamp":1749027064000},"page":"3963","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Sutureless Scleral-Fixated Soleko Fil Carlevale Intraocular Lens and Associated Pars Plana Vitrectomy in Aphakia Management: A National Multicenter Audit"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2152-4754","authenticated-orcid":false,"given":"Lorena","family":"Ferrer-Alapont","sequence":"first","affiliation":[{"name":"Hospital Cl\u00ednic of Barcelona, University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5469-3963","authenticated-orcid":false,"given":"Carolina","family":"Bernal-Morales","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednic of Barcelona, University of Barcelona, 08036 Barcelona, Spain"},{"name":"August Pi i Sunyer Biomedical Research Institute (IDIBAPS), 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel J.","family":"Navarro","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednic of Barcelona, University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Ruiz-Casas","sequence":"additional","affiliation":[{"name":"Hospital Universitario Ram\u00f3n y Cajal, 28034 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Garc\u00eda-Arum\u00ed","sequence":"additional","affiliation":[{"name":"Hospital Universitari Vall d\u2019Hebron, 08035 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Manuel","family":"Cubero-Parra","sequence":"additional","affiliation":[{"name":"Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3467-3356","authenticated-orcid":false,"given":"Jose Vicente","family":"Dabad-Moreno","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz, 28046 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8677-6859","authenticated-orcid":false,"given":"Daniel","family":"Vel\u00e1zquez-Villoria","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Villoria, 36001 Pontevedra, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1185-375X","authenticated-orcid":false,"given":"Joaqu\u00edn","family":"Marticorena","sequence":"additional","affiliation":[{"name":"Complejo Hospitalario Universitario de Santiago de Compostela, 15706 A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juli\u00e1n","family":"Zarco-Bosquet","sequence":"additional","affiliation":[{"name":"Hospital de Sagunto, 46520 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3695-3343","authenticated-orcid":false,"given":"F\u00e9lix","family":"Armada-Maresca","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz, 28046 Madrid, Spain"},{"name":"Hospital Universitario San Francisco de As\u00eds, 28002 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0425-8522","authenticated-orcid":false,"given":"Cristina","family":"Irigoyen","sequence":"additional","affiliation":[{"name":"Hospital Universitario de Donostia, 20014 Donostia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3304-3838","authenticated-orcid":false,"given":"Juan-Francisco","family":"Santamar\u00eda-\u00c1lvarez","sequence":"additional","affiliation":[{"name":"Hospital Universitario de Bellvitge, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4783-5342","authenticated-orcid":false,"given":"Pablo","family":"Carnota-M\u00e9ndez","sequence":"additional","affiliation":[{"name":"Centro de Ojos de A Coru\u00f1a, 15006 A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idaira","family":"S\u00e1nchez-Santos","sequence":"additional","affiliation":[{"name":"Hospital de La Princesa, 28006 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3178-7419","authenticated-orcid":false,"given":"Nuria","family":"Olivier-Pascual","sequence":"additional","affiliation":[{"name":"Complejo Hospitalario Universitario de Ferrol, 15405 A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4804-2555","authenticated-orcid":false,"given":"Francisco Javier","family":"Ascaso","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Universitario Lozano Blesa, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2338-8143","authenticated-orcid":false,"given":"Javier","family":"Zarranz-Ventura","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednic of Barcelona, University of Barcelona, 08036 Barcelona, Spain"},{"name":"August Pi i Sunyer Biomedical Research Institute (IDIBAPS), 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/S0140-6736(17)30544-5","article-title":"Cataracts","volume":"390","author":"Liu","year":"2017","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00055735-200102000-00009","article-title":"Lens Implant Selection with Absence of Capsular Support","volume":"12","author":"Dick","year":"2001","journal-title":"Curr. 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