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Management of complications of sutureless intrascleral intraocular lens fixation

Authors :
Chia-Yi Cheng
Yu-Bai Chou
Chia-Ying Tsai
Ming-Hung Hsieh
Chia-Chieh Hsiao
Tso-Ting Lai
Source :
Taiwan Journal of Ophthalmology, Vol 14, Iss 1, Pp 95-101 (2024)
Publication Year :
2024
Publisher :
Wolters Kluwer Medknow Publications, 2024.

Abstract

PURPOSE: The purpose of the study was to report the complications of sutureless intrascleral (SIS) intraocular lens (IOL) fixation and its management. MATERIALS AND METHODS: A multicenter, retrospective, consecutive interventional case series of patients with intra or postoperative complications after SIS IOL fixation during the technical learning curve of vitreoretinal surgeons from three Taiwanese referral hospitals. The used surgical techniques were the Scharioth technique for intrascleral tunnel fixation, Yamane technique (double-needle scleral fixation), and modified Yamane technique (double-needle flanged haptic scleral fixation). The IOL models and surgical instruments used as well as each patient's ocular characteristics and complication management were recorded. RESULTS: Of the eight included patients, the complications of 3 (37.5%) and 5 (62.5%) were noted intraoperatively and postoperatively, respectively. Haptic-related complications, including haptic breakage, slippage, and haptic disinsertion, occurred in six eyes. Other complications included uveitis–glaucoma–hyphema syndrome, retinal detachment, and IOL tilt. For the two patients with haptic slippage, repositioning was achieved using a modified cow-hitch technique that resulted in favorable IOL centration and restored visual acuity. CONCLUSION: Most complications surgeons encountered during their early exposure to SIS IOL fixation were haptic related. Surgeons should be aware of such complications to prevent and manage them during surgery. Our modified cow-hitch technique could be used to reposition IOLs with unilateral haptic slippage.

Details

Language :
English
ISSN :
22115056 and 22115072
Volume :
14
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Taiwan Journal of Ophthalmology
Publication Type :
Academic Journal
Accession number :
edsdoj.858bd22dfadc4454b8f8738ca4831a1b
Document Type :
article
Full Text :
https://doi.org/10.4103/tjo.TJO-D-23-00163