Refractive Outcomes after Pars Plana Vitrectomy and Scleral Fixated Intraocular Lens with Gore-Tex Suture

Su, Daniel; Stephens, John D.; Obeid, Anthony; Borkar, Durga S.; Storey, Philip; Khan, Mohammed; Hsu, Jason; Garg, Sunir J.; Gupta, Omesh P.

doi:10.1016/j.oret.2019.02.012

Cited by 47 publications

(66 citation statements)

References 18 publications

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“…Additionally, refractive outcomes in this setting have only recently been described in small case series involving a variety of IOLs and surgical techniques. 11,12 Our study is the first to our knowledge to report the postoperative refraction among eyes exclusively receiving an Akreos A060 IOL fixated 2 mm posterior to the limbus with Gore-Tex suture.…”

Section: Discussionmentioning

confidence: 82%

“…To the best of our knowledge, only 1 institution has previously documented the refractive outcomes of these patients in the postoperative period, an important marker of postsurgical success. 11,12 The aim of this study is to characterize the postsurgical refractive outcomes and complications of scleral-fixated IOLs using Gore-Tex suture at a single center.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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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“…Published studies have not reported persistent post-operative inflammation, endophthalmitis or suture erosion/breakage at 2 years [27]. With in-the-bag calculations for the IOL, a recent study showed that 2 mm sclerotomies resulted in a more myopic post-operative Secondary Intraocular Lens DOI: http://dx.doi.org/10.5772/intechopen.89569 outcome than 3 mm sclerotomies [28]. Other studies have shown acceptable refractive outcomes with this technique and 3 mm from the limbus sclerotomies with in-the-bag IOL calculations [29].…”

Section: Scleral Fixation Of Iol With Gore-tex Suture Techniquementioning

confidence: 99%

Secondary Intraocular Lens

Manoharan¹,

Prasad²

2020

Intraocular Lens

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Secondary intraocular lens (IOL) implantation has evolved over the past few decades. Several new techniques, lens options, and materials now exist. Careful patient selection is important to determine the optimal secondary IOL technique. Intraocular lens placement in the capsular bag is the most ideal followed by sulcus placement. However, the best option when no capsular support exists in an aphakic patient remains unclear. Surgeons should be aware of contraindications for each technique; however, there are several situations where anterior chamber intraocular lens (ACIOL), scleral-fixated intraocular lens (SFIOL), and iris fixation can all be used. In those cases, surgeon familiarity and comfort with the secondary IOL technique can determine the type of surgery performed.

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“…There is a growing body of techniques for secondary intraocular lens (IOL) placement in the absence of capsular support, including the 4-point fixation of the Akreos AO60 lens using Gore-Tex suture. [1][2][3][4][5] Although there are multiple studies reporting short-term data with a favorable safety profile, there are few studies examining the refractive outcomes. 3,5 A challenge in accurately assessing this has been the multiple ocular comorbidities that often exist in these cases, including history of open globe injury, retinal detachment, or ocular trauma, which may preclude an accurate refraction or affect the uncorrected visual acuity.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5] Although there are multiple studies reporting short-term data with a favorable safety profile, there are few studies examining the refractive outcomes. 3,5 A challenge in accurately assessing this has been the multiple ocular comorbidities that often exist in these cases, including history of open globe injury, retinal detachment, or ocular trauma, which may preclude an accurate refraction or affect the uncorrected visual acuity. 2,4,6,7 In this study, we aim to study the refractive outcomes in eyes with good visual potential post-secondary IOL implantation.…”

Section: Introductionmentioning

confidence: 99%

Refractive Outcomes of Four-Point Scleral Fixation of Akreos AO60 Intraocular Lens Using Gore-Tex Suture

Patel¹,

Fan²,

Yannuzzi³

et al. 2020

OPTH

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Background/Objective To determine the refractive outcomes after 4-point scleral fixation of the Akreos AO60 intraocular lens with Gore-Tex suture. Methods This was a single referral center, multi-surgeon, retrospective consecutive case series. A total of 63 eyes met the inclusion criteria for having received surgical implantation of the Akreos AO60 intraocular lens with Gore-Tex suture from August 2014 to December 2018. Exclusion criteria included all ocular pathology that precluded an accurate refraction, concurrent ocular surgery, poor corrected pre-operative visual potential, among other factors. Main outcome measures included post-operative uncorrected visual acuity (VA), best-corrected VA, and spherical equivalent deviation from target. Results Mean pre-operative BCVA was 0.67 ± 0.64 LogMAR (20/93 Snellen). Mean final post-operative BCVA was 0.17 ± 0.18 (20/28 Snellen) and mean final post-operative UCVA was 0.31 ± 0.22 (20/41 Snellen). Mean post-operative spherical equivalent was −0.57 D. Mean post-operative astigmatism was 0.85 D. Conclusion Refractive outcomes after secondary implantation with Akreos AO60 are favorable in eyes with good visual potential.

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Refractive Outcomes after Pars Plana Vitrectomy and Scleral Fixated Intraocular Lens with Gore-Tex Suture

Cited by 47 publications

References 18 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

Secondary Intraocular Lens

Refractive Outcomes of Four-Point Scleral Fixation of Akreos AO60 Intraocular Lens Using Gore-Tex Suture

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