When Capsular Support Is Lost: Giving Vision a Second Chance with Secondary IOLs.
Secondary IOL implantation without capsular support requires individualized, anatomy-based approach in both adults and children. Options are iris-claw IOLs, CMT Flex, sutured/sutureless scleral-fixated IOLs. Selection depends on iris integrity, endothelial count, age, surgeon expertise. In adults, iris-claw and SF lenses are commonly chosen based on anterior segment suitability, while angle-supported lenses are reserved for select cases. In pediatric patients, ocular growth amblyopia risk influence timing and modality, with conservative correction in children and tailored secondary implantation in older ones. This instructional course will comprehensively review all available techniques and provide a practical, scenario-based framework for decision-making. Through real-world clinical discussions, participants will gain clarity on selecting the most appropriate secondary IOL and leave equipped to confidently tailor their choice to individual anatomical and clinical circumstances.
