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Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile.
- Source :
- British Journal of Ophthalmology; May2016, Vol. 100 Issue 5, p638-643, 6p, 2 Color Photographs, 2 Charts
- Publication Year :
- 2016
-
Abstract
- Abstract Background/aims To report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture. Methods Retrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alcon CZ70BD IOL using Gore-Tex suture. Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days. Results 85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p<0.001). Mean follow-up was 325 days (median 264 days, range 90-996 days). There were no intraoperative complications noted. Postoperative complications included hypotony in eight patients (9.4%), ocular hypertension in six eyes (7%), vitreous haemorrhage in six eyes (7%), hyphema in two eyes (2%), serous choroidal detachment in two eyes (2%), cystoid macular oedema in two eyes (2%) and corneal oedema in one eye (1%). There were no cases of postoperative endophthalmitis, suture erosion/ breakage, retinal detachment, suprachoroidal haemorrhage, uveitis-glaucoma-hyphema syndrome or persistent postoperative inflammation in the follow-up period. Conclusions Ab externo scleral fixation of IOLs with Gore-Tex suture was well tolerated in all cases. No suture-related complications were encountered. This procedure led to improvement in visual acuity and was not associated with significant intraoperative or postoperative complications. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00071161
- Volume :
- 100
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- British Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 115169359
- Full Text :
- https://doi.org/10.1136/bjophthalmol-2015-306839