Comparison of outcomes of scleral fixation with and without pars plana vitrectomy for the treatment of dislocated intraocular lens

Choi, Seung Yong; Hwang, You Sook; Kim, Min-Ju; Choi, Soon Il; Park, Young-Hoon

doi:10.1007/s00417-017-3802-y

Cited by 5 publications

(1 citation statement)

References 27 publications

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“…In a study conducted by Choi et al ., it was found that there was no significant difference in visual outcomes, refractive shifts, and complication rates between patients who underwent AV and those who underwent PPV in combination with scleral fixation IOL implantation. [ 12 ] The scleral fixation method utilized fixation sutures placed in a linear scleral incision (groove). Similarly, we performed SF-IOL implantation surgery combined with both AV and PPV.…”

Section: Discussionmentioning

confidence: 99%

Scleral-fixated intraocular lens implantation with “irregular, knotless, zigzag-shaped scleral tunnel suture technique” combined with pars plana vitrectomy or anterior vitrectomy

Gunduz,

Ozturk,

Cankaya

et al. 2024

Saudi Journal of Ophthalmology

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PURPOSE: This study aims to introduce a new suture method and report surgical outcomes of patients who underwent scleral-fixated intraocular lens (SF-IOL) implantation combined with either pars plana vitrectomy (PPV) or anterior vitrectomy (AV). METHODS: Twenty-three eyes performed SF-IOL implantation combined with PPV (Group 1), and 34 eyes performed SF-IOL implantation combined with AV (Group 2) were included in the study prospectively. The SF-IOL, either polymethyl methacrylate or foldable IOL, was sutured into the sclera using PC-9 sutures in an irregular, knotless, and zigzag-shaped manner. The scleral tunnel was approximately 12-15 mm long, with at least four sharp edges. Suture tips were trimmed within the scleral tunnel. Postoperative outcomes and complications were evaluated. RESULTS: Both groups showed no complications such as suture tip expulsion, suture reaction, IOL dislocation, or increased intraocular pressure during postoperative visits. Group 1 exhibited a statistically significant improvement in visual acuity compared to preoperative values (P = 0.036 for the 1st month, <0.001 for the 3rd month). Similarly, Group 2 demonstrated a statistically significant improvement in visual acuity compared to the preoperative period (P = 0.001 for the 1st month, <0.001 for the 3rd month). CONCLUSION: The “irregular, knotless, and zigzag-shaped scleral tunnel suture technique” yielded favorable results in terms of IOL stability and visual acuity. This technique can be safely employed in patients undergoing SF-IOL implantation combined with PPV or AV.

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Section: Discussionmentioning

confidence: 99%

Scleral-fixated intraocular lens implantation with “irregular, knotless, zigzag-shaped scleral tunnel suture technique” combined with pars plana vitrectomy or anterior vitrectomy

Gunduz,

Ozturk,

Cankaya

et al. 2024

Saudi Journal of Ophthalmology

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Aphakiekorrektur bei unzureichender Kapselsackstabilität

Baur,

Winkelmann,

Albrecht

et al. 2024

Ophthalmologie

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ZusammenfassungEine Vielzahl an Situationen kann zur Notwendigkeit führen, eine Intraokularlinse(IOL) andernorts als im Kapselsack zu fixieren. Je nach Ausgangssituation stehen sulcusfixierte IOL, irisfixierte IOL (IFIOL) und sklerafixierte (SFIOL) zur Verfügung. Bei den SFIOL werden nahtfixierte von nahtlos fixierten Techniken unterschieden. Diese Arbeit soll einen Überblick über die Vor- und Nachteile der Methoden, einschließlich der neueren Methoden der nahtlosen SFIOL, geben. Welches Verfahren im jeweiligen Fall angewendet wird, hängt sowohl von den individuellen Gegebenheiten des Patienten als auch von der Erfahrung des Operateurs ab.

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Secondary IOL’s and Exchanges from a Retina Surgeon’s Perspective

Carcione

Astafurov

Prenner

2022

Curr Ophthalmol Rep

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Comparison of outcomes of scleral fixation with and without pars plana vitrectomy for the treatment of dislocated intraocular lens

Abstract: Both ppV and AV are appropriate options in patients who need IOL exchange with scleral fixation based on visual outcomes, refractive shifts, and complication rates. In terms of managing astigmatism, the AV procedure may be the better option.

Cited by 5 publications

References 27 publications

Scleral-fixated intraocular lens implantation with “irregular, knotless, zigzag-shaped scleral tunnel suture technique” combined with pars plana vitrectomy or anterior vitrectomy

Scleral-fixated intraocular lens implantation with “irregular, knotless, zigzag-shaped scleral tunnel suture technique” combined with pars plana vitrectomy or anterior vitrectomy

Aphakiekorrektur bei unzureichender Kapselsackstabilität

Secondary IOL’s and Exchanges from a Retina Surgeon’s Perspective

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