Walk a mile in my old shoes: an intervention study on age simulation suit training for correctional staff.

In posterior capsule insufficiency or zonular weakness, a secondary intraocular lens (IOL) is needed. Trauma, Marfan syndrome, pseudoexfoliation syndrome, congenital aniridia, and cataract surgical difficulties can cause such disorders. As the global population ages, the number of cataract procedures is increasing, leading to more secondary IOL implantation []. Recently, numerous secondary IOL fixation techniques have been developed. These include anterior chamber IOL (ACIOL), iris-fixated IOL (IFIOL), and scleral fixation IOL (SFIOL), each with its own specific advantages and risks [-]. ACIOL is rarely used in clinical practice because it can lead to anterior chamber angle injury, corneal endothelial injury, and even irreversible corneal endothelial decompensation []. IFIOLs present greater technical challenges compared to ACIOLs and are linked to a heightened risk of pupillary anatomical disruption, uveitis from pigment release, IOL dislocation, and vitreous hemorrhage []. Three types of SFIOLs are identified: sutured SFIOLs, glued SFIOLs, and sutureless SFIOLs. Glued SFIOLs effectively mitigate potential complications associated with sutures by anchoring the IOL ring beneath a scleral flap or within a scleral tunnel utilizing fibrin adhesive. The high cost of fibrin adhesive and the risk of prion-related infection post-surgery restrict the use of this procedure [,]. Sutureless techniques for scleral fixation have garnered attention as a solution to suture-related complications. These techniques are preferred for their procedural simplicity, potentially reduced surgical durations, and strong IOL fixation capability. Nonetheless, these methods pose specific challenges, including a considerable learning curve, potential intraoperative complications, and a risk of IOL dislocation [,]. The sutured SFIOL approach involves securing the intraocular lens to the sclera with 10-0 polypropylene, 9-0 polypropylene, or expanded polytetrafluoroethylene sutures. Sutured IOL fixation may result in problems, including suture rupture and suture erosion [-]. Nonetheless, with the ongoing advancement of science and technology, the approach to this operation is continually being streamlined, resulting in a lower rate of damage; thus, numerous clinical academics favor this surgical technique. This research aims to assess the short-term anatomical and visual results of a modified surgical approach for IOL implantation using the transscleral suture-mediated IOL fixation technique. This method entails placing the suture ends beneath the Tenon’s capsule after tying a knot on the sclera, offering an alternative solution to specific complications associated with conventional sutured techniques. The objective is to mitigate issues commonly documented in the literature, including suture exposure and conjunctival irritation. The clinical efficacy and safety of the technique were retrospectively analyzed using parameters such as surgical efficacy, complication rates, visual gain, and IOL stability.