Long-term outcome of combined vitrectomy and transscleral suture fixation of posterior chamber intraocular lenses in the management of posteriorly dislocated lenses

Yang, Chang-Sue; Chao, Yun‐Ting

doi:10.1016/j.jcma.2016.01.016

Cited by 13 publications

(12 citation statements)

References 25 publications

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“…6 The overall postoperative refractive outcomes from our study appear to be superior to those previously reported for sulcus-fixated IOLs using Prolene. 17 Furthermore, the mean postoperative manifest refraction was also similar to previous literature reports. 17,18 The final refraction tends to be more myopic because sulcus-fixated IOLs are more anterior compared with in-the-bag placement.…”

Section: Discussionsupporting

confidence: 88%

“…17 Furthermore, the mean postoperative manifest refraction was also similar to previous literature reports. 17,18 The final refraction tends to be more myopic because sulcus-fixated IOLs are more anterior compared with in-the-bag placement. However, because a hyperopic shift was found in a few cases, we suggest that a target refraction of -0.5 to -1.0 D is optimal.…”

Section: Discussionsupporting

confidence: 88%

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Outcomes and Complications of Concurrent Pars Plana Vitrectomy and Scleral-Fixated Intraocular Lens Placement Using Gore-Tex Suture

Da-y

Durrani

Kim

et al. 2019

Journal of VitreoRetinal Diseases

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Purpose: The authors aim to describe the visual outcomes and postoperative complications of concurrent pars plana vitrectomy and scleral-fixated intraocular lens (IOL) placement using Gore-Tex suture. Methods: A retrospective review of medical records was performed on 27 eyes of 27 patients undergoing concurrent pars plana vitrectomy and scleral-fixated IOL with Gore-Tex suture. Outcome measures were change in preoperative and postoperative visual acuity, final manifest refraction, and incidence of intraoperative and postoperative complications. Results: The mean age was 69.2 ± 11.3 years; there were 16 male patients (59%). The duration of follow-up ranged from 33 to 576 days with a mean of 200 ± 143 days. All patients received Bausch + Lomb Akreos AO60 IOL. The overall mean best-corrected visual acuity in Snellen equivalent improved from 20/276 preoperatively to 20/44 postoperatively ( P < .001). The mean postoperative manifest spherical equivalent refraction was –0.35 ± 1.34 diopters (D). Seventy-five percent of eyes were ± 1.0 D of target refraction. Postoperative complications included corneal edema (26.0%), ocular hypertension (25.9%), hypotony (7.4%), cystoid macular edema (7.4%), vitreous hemorrhage (7.4%), and hyphema (3.7%). No cases of suture breakage, IOL dislocation, retinal detachment, or uveitis–glaucoma–hyphema syndrome were identified. Conclusions: The use of Gore-Tex suture for posterior chamber IOL fixation resulted in favorable outcomes. No suture-related complications occurred during the follow-up period. Final refraction in this setting is typically within ± 1.0 D of target.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Outcomes and Complications of Concurrent Pars Plana Vitrectomy and Scleral-Fixated Intraocular Lens Placement Using Gore-Tex Suture

Da-y

Durrani

Kim

et al. 2019

Journal of VitreoRetinal Diseases

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“…Following PPV, patients have numerous available option for secondary visual rehabilitation from the aphakia. In absent or insufficient of capsular support, IOL may be sutured to the sclera (transscleral suture fixation) or iris, exchanged for an AC IOL or using aphakic spectacle or contact lens correction 5,10 .…”

Section: Discussionmentioning

confidence: 99%

“…Most common postoperative complication of the refixation or exchange IOL is decrease of ECD. AC IOL implantation for low ECD patient is avoided because potential complication related to AC IOL may be a gradual decrease of ECD 10 . Kristianlund et al in their study found postoperative significant ECD loss of 10% in IOL exchange group than nonsignificant 3% ECD loss in repositioning group at 6 th month follow-up 5 .…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique of Late Spontaneous IOL-Capsular Bag Complex Dislocation with Low Corneal Endothelial Cell Density: A Case Report

et al. 2019

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Introduction: IOL-capsular bag complex dislocation is a rare but serious complication of phacoemulsification surgery. Technique to repair this complication should be based on various clinical parameters including quality of corneal endothelial cells and the type of dislocated IOL. Method:We present a case of a 67-year-old male with left eye spontaneous one-piece foldable IOL-capsular bag complex dislocation to vitreous cavity 4 years after phacoemulsification surgery. Visual acuity of the left eye was 1/60, pupil was round with 3 mm diameter and IOP was 15 mmHg. Noncontact specular microscopy examination showed that the corneal endothelial cell density was 1100 cells/mm 2 . It was managed with 23-gauge posterior vitrectomy, IOL evacuation to anterior chamber, releasing the capsular bag and repositioning the IOL into posterior chamber by sutured scleral fixation.Result: Follow-up at 6 th month, best corrected visual acuity of the left eye achieved 6/6, IOL at central position and the last corneal endothelial cell density was 1076 cells/mm 2 .Conclusions: Late spontaneous IOL-capsular bag complex dislocation with low corneal endothelial cell density can be safely managed with proper surgical technique. Vitrectomy and sutured scleral fixation of the previously dislocated IOL were effective in managing such case. Longer follow-up should be done to assure the stability of IOL position and the quality of corneal endothelial cells.

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“…Zarówno w przypadku soczewek iris-claw, jak i implantów fiksowanych do twardówki opisane zostały powikłania po-operacyjne obejmujące m.in. : przemieszczenie implantu, wzrost ciśnienia wewnątrzgałkowego, krwawienie do ciała szklistego, torbielowaty obrzęk plamki (CME, cystoid macular edema) czy odwarstwienie siatkówki [9][10][11][12][13][14]. Z uwagi na nieskomplikowaną technikę oraz stosunkowo krótki czas zabiegu wielu chirurgów preferuje implanty iris-claw w korekcji bezsoczewkowości z uszkodzoną obwódką rzęskową lub torebką tylną [15,16]…”

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Efekty wszczepienia implantów iris-claw do komory tylnej w oczach bezsoczewkowych z niestabilną torebką – retrospektywne badanie obserwacyjne

et al. 2020

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Wprowadzenie: Implantacja soczewek iris-claw jest często stosowaną metodą korekcji bezsoczewkowości z niestabilną torebką. Celem badania była ocena wyników anatomicznych, funkcjonalnych oraz powikłań po zabiegu u pacjentów z afakią i niestabilną torebką soczewki.Materiał i metody: Do badania włączono 44 oczu (44 pacjentów). Średni wiek: 72,5 ± 20,5 lat (18-95 lat). Średni czas obserwacji: 12,11 + 6,02 miesiąca (od 1 do 24 miesięcy). W 5 oczach (11,36%) wykonano pierwotne wszczepienie implantu, w 24 oczach (54,55%) wymianę implantu tylnokomorowego na soczewkę typu iris-claw, w 15 oczach wtórne wszczepienie implantu.Wyniki: Końcowa najlepiej skorygowana ostrość wzroku była istotnie statystycznie lepsza niż przed zabiegiem (0,49 ± 0,33 vs 0,36 ± 0,26 wg Snellena), (P<0,05). W 40 oczach (90,91%) błąd refrakcji na koniec okresu obserwacji był w granicach ± 2 Dsph. Istotne powikłania pooperacyjne obejmowały: zapalenie tęczówki 2 oczu (4,55%), przemieszczenie implantu 2 oczu (4,55%), torbielowaty obrzęk plamki 6 oczu (13,64%), odwarstwienie siatkówki 2 oczu (4,55%), wylew krwi do ciała szklistego 1 oko (2,27%), zakrzep żyły środkowej siatkówki 1 oko (2,27%), zapalenie troficzne rogówki 1 oko (2,27%).Wnioski: Tylnokomorowe implanty wewnątrzgałkowe typu iris-claw mogą być stosowane w oczach z niestabilnym aparatem więzadłowym w szerokim zakresie wskazań operacyjnych, zapewniając dobry efekt anatomiczny i poprawę funkcji.

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Long-term outcome of combined vitrectomy and transscleral suture fixation of posterior chamber intraocular lenses in the management of posteriorly dislocated lenses

Cited by 13 publications

References 25 publications

Outcomes and Complications of Concurrent Pars Plana Vitrectomy and Scleral-Fixated Intraocular Lens Placement Using Gore-Tex Suture

Outcomes and Complications of Concurrent Pars Plana Vitrectomy and Scleral-Fixated Intraocular Lens Placement Using Gore-Tex Suture

Surgical Technique of Late Spontaneous IOL-Capsular Bag Complex Dislocation with Low Corneal Endothelial Cell Density: A Case Report

Efekty wszczepienia implantów iris-claw do komory tylnej w oczach bezsoczewkowych z niestabilną torebką – retrospektywne badanie obserwacyjne

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