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Outcomes of Using Sutureless, Scleral-Fixated Posterior Chamber Intraocular Lenses
- Source :
- Seminars in ophthalmology. 34(7-8)
- Publication Year :
- 2019
-
Abstract
- Background. Implantation of sutureless, scleral-fixated posterior chamber intraocular lenses (SSFIOL) is a promising option in the surgical management of patients unable to undergo standard cataract surgery due to insufficient capsular support. The purpose of this study was to describe the indications, visual outcomes and complications of SSFIOL implantation.Methods. Retrospective, investigational cohort study of 112 consecutive SSFIOL implantations between July 2013 and August 2017. Pre-operative ocular morbidity, operative indications, postoperative outcomes, complications, and reinterventions were summarized. Visual and refractive outcomes were compared between the pre- and latest postoperative visit using Wilcoxon signed-ranked test.Results. Mean follow-up: 13.0 ± 10.4 months. Primary surgical indication was dislocated IOL due to zonular weakness (77 eyes (68.8%)). At latest follow-up, there was improvement in uncorrected visual acuity (1.3 ± 0.8 to 0.64 ± 0.60 logMAR, p 30 mmHg (26.8%), cystoid macular edema (CME) (14.3%), transient hypotony (13.4%), iris capture (12.5%), uveitis-glaucoma-hyphema (UGH) syndrome (11.6%), vitreous hemorrhage (VH) (6.3%). Operative reinterventions included SSFIOL exchange (3.6%), SSFIOL repositioning (5.4%), SSFIOL removal (2.7%). Ten (8.9%) patients required multiple re-interventions.Conclusion. SSFIOL implantation is a reasonable option for eyes with inadequate capsular support, resulting in visual improvement in most patients. Many of the surgical complications were related to a floppy iris-lens diaphragm (UGH syndrome, iris capture), which were predisposed in eyes with complex pathology. Surgical modifications can be made to minimize the iris-related complications.
- Subjects :
- Male
medicine.medical_specialty
genetic structures
medicine.medical_treatment
Visual Acuity
Uncorrected visual acuity
Aphakia, Postcataract
Prosthesis Design
03 medical and health sciences
0302 clinical medicine
Lens Implantation, Intraocular
medicine
Humans
Macular edema
Aged
Retrospective Studies
Aged, 80 and over
Lenses, Intraocular
UGH syndrome
business.industry
General Medicine
Cataract surgery
Middle Aged
medicine.disease
eye diseases
Sutureless Surgical Procedures
Diaphragm (structural system)
Surgery
Ophthalmology
Intraocular lenses
Vitreous hemorrhage
030221 ophthalmology & optometry
Female
sense organs
business
030217 neurology & neurosurgery
Sclera
Cohort study
Follow-Up Studies
Subjects
Details
- ISSN :
- 17445205
- Volume :
- 34
- Issue :
- 7-8
- Database :
- OpenAIRE
- Journal :
- Seminars in ophthalmology
- Accession number :
- edsair.doi.dedup.....a91688573643a3b1e1d688d23c753681