Posterior Chamber Scleral Fixation  of Intraocular Lenses in Post- Vitrectomised Aphakic Eyes

Obeng, Francis Kwasi; Vig, Vipan Kumar; Singh, Preetam; Singh, Rajbir; Dhawan, Bodhraj; Sahajpal, Nikhil

doi:10.7860/jcdr/2017/20989.9533

Cited by 12 publications

(10 citation statements)

References 17 publications

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“…We did not find suture breakage and spontaneous dislocation of IOL up to 99 months in our study, but long-term follow-up is still needed to determine their lifetime safety profile. Although it has been reported that increasing the diameter of sutures, such as 9-0 sutures, can reduce the rate of suture breakage, but the incidence of suture breakage (2.7% breakage with a mean follow-up of 23 months) is still higher than that of our study (0% breakage with a mean follow-up of 34 months) [24].…”

Section: Resultscontrasting

confidence: 94%

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients

Han¹,

Wang²,

Zheng³

et al. 2019

Preprint

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Background To investigate the long-term outcomes and complications of scleral-fixated intraocular lens (SFIOL) implantation without conjunctival peritomies and sclerotomy in patients with a history of ocular trauma with inadequate capsular support during primary pars plana vitrectomy or silicone oil removal. Methods Records of ocular trauma patients who underwent implantation of SFIOL without conjunctival peritomies and sclerotomy during primary pars plana vitrectomy or silicone oil removal. Results Sixty-nine eyes of 69 patients were included in this study. The median follow-up period was 34 months (range, 6-99 months). The average patient age at the time of surgery was 44 years old (range, 4-80 years). At the end of follow-up, the preoperative mean of best corrected visual acuity (BCVA) was 0.79 ± 0.86 log of the minimum angle of resolution (logMAR), which improved 0.20 ± 0.26 logMAR postoperatively (P = 0.01). BCVA improved or remained unchanged in 64 eyes (92.8%), VA decreased two lines in five eyes (7.2%). Early postoperative complications included transient corneal edema in seven eyes (10.1%), minor vitreous hemorrhage in four eyes (5.8%), transient elevated intraocular pressure (IOP) in one eye (1.4%), and hypotony in three eyes (4.3%). Late postoperative complications included persistent elevated IOP in five eyes (7.2%), epiretinal membrane formation in three eyes (4.3%), and cystoid macular edema noted in one eye (1.4%). Conclusions Use of a scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients during either primary pars plana vitrectomy or second silicone oil removal is a valuable approach for the management of traumatic aphakia in the absence of capsular support.

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Section: Resultscontrasting

confidence: 94%

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients

Han¹,

Wang²,

Zheng³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…We did not find suture breakage and spontaneous dislocation of IOL up to 99 months in our study, but long-term follow-up is still needed to determine their lifetime safety profile. Although it has been reported that increasing the diameter of sutures, such as 9-0 sutures, can reduce the rate of suture breakage, but the incidence of suture breakage (2.7% breakage with a mean follow-up of 23 months ) is still higher than that of our study (0% breakage with a mean followup of 34 months) [ 24 ].…”

Section: Discussioncontrasting

confidence: 94%

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients

Han¹,

Wang²,

Zheng³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background To investigate the long-term outcomes and complications of scleral-fixated intraocular lens (SFIOL) implantation without conjunctival peritomies and sclerotomy in patients with a history of ocular trauma with inadequate capsular support during primary pars plana vitrectomy or silicone oil removal. Methods Records of ocular trauma patients who underwent implantation of SFIOL without conjunctival peritomies and sclerotomy during primary pars plana vitrectomy or silicone oil removal. Results Sixty-nine eyes of 69 patients were included in this study. The median follow-up period was 34 months (range, 6-99 months). The average patient age at the time of surgery was 44 years old (range, 4-80 years). At the end of follow-up, the preoperative mean of best corrected visual acuity (BCVA) was 0.79 ± 0.86 log of the minimum angle of resolution (logMAR), which improved 0.20 ± 0.26 logMAR postoperatively (P = 0.01). BCVA improved or remained unchanged in 64 eyes (92.8%), VA decreased two lines in five eyes (7.2%). Early postoperative complications included transient corneal edema in seven eyes (10.1%), minor vitreous hemorrhage in four eyes (5.8%), transient elevated intraocular pressure (IOP) in one eye (1.4%), and hypotony in three eyes (4.3%). Late postoperative complications included persistent elevated IOP in five eyes (7.2%), epiretinal membrane formation in three eyes (4.3%), and cystoid macular edema noted in one eye (1.4%). Conclusion Use of a scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients during either primary pars plana vitrectomy or second silicone oil removal is a valuable approach for the management of traumatic aphakia in the absence of capsular support.

show abstract

“…We did not find suture breakage and spontaneous dislocation of IOL up to 99 months in our study, but long-term follow-up is still needed to determine their lifetime safety profile. A 9-0 polypropylene suture may reduce the potential risk of suture breakage, and some researchers using these for SFIOL reported 2.7% breakage (in 4 of 148 patients) with a mean follow-up of 23 ± 14 months [26].…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctive peritomies or sclerotomy in ocular trauma patients

Han¹,

Wang²,

Zheng³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background To investigate the long-term outcomes and complications of scleral-fixated intraocular lens (SFIOL) implantation without conjunctive peritomies or sclerotomy in patients with a history of ocular trauma during primary pars plana vitrectomy or silicone oil removal. Methods Records of patients who underwent implantation of SFIOL during primary pars plana vitrectomy or silicone oil removal. Results Sixty-nine eyes of 69 patients were included in this study. The median follow-up period was 34 months (range, 6-99 months). The average patient age at the time of surgery was 44 years old (range, 4-80 years). At the end of follow-up, the preoperative mean of best corrected visual acuity (BCVA) was 0.79 ± 0.86 log of the minimum angle of resolution (logMAR), which improved 0.20 ± 0.26 logMAR postoperatively (P = 0.01). BCVA improved or remained unchanged in 64 eyes (92.8%), VA decreased two lines in five eyes (7.2%). Early postoperative complications included transient corneal edema in seven eyes (10.1%), minor vitreous hemorrhage in four eyes (6.6%), transient elevated intraocular pressure (IOP) in one eye (1.4%), and hypotony in three eyes (4.3%). Late postoperative complications included persistent elevated IOP in five eyes (7.2%), epiretinal membrane formation in three eyes (4.3%), and cystoid macular edema noted in one eye (1.4%). Conclusion Use of a scleral-fixated intraocular lens implantation without conjunctive peritomies or sclerotomy in ocular trauma patients during either primary pars plana vitrectomy or second silicone oil removal is a valuable approach for the management of traumatic aphakia in the absence of capsular support.

show abstract

Posterior Chamber Scleral Fixation of Intraocular Lenses in Post- Vitrectomised Aphakic Eyes

Cited by 12 publications

References 17 publications

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients

Long-term outcome of scleral-fixated intraocular lens implantation without conjunctive peritomies or sclerotomy in ocular trauma patients

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