Retrospective Study of Visual Outcomes and Complications After Sutureless, Flapless, and Glueless Intrascleral Fixation of Posterior Chamber Intraocular Lens in Children and Young Adults

Prabu, V Rajesh; Kapoor, Smita; Udayakumar, Swarna; Gupta, Priyanka

doi:10.3928/01913913-20170703-10

Cited by 3 publications

(12 citation statements)

References 13 publications

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“…There were a total of 34 IOL-related complications (8.08%), 13 were subluxations/dislocations (3.09%), 44 9 were optic captures (2.14%), 20,42,43,49 3 were haptic exposures/erosions (0.71%), 40 and 8 were decentrations (1.90%) 13,41,49 . Three suture-related complications were noted in the SSFIOL group (0.71%), all of which were suture erosions 41,49 .…”

Section: Resultsmentioning

confidence: 99%

“…It also retains the advantages of SFIOL over anterior chamber IOL 62 . In this systematic review, 12 studies were on sutureless, glueless SFIOL with a total of 463 eyes 10,17,18,20,22,27,33,39,40,45,48,52 …”

Section: Resultsmentioning

confidence: 99%

“…Forty-eight studies reported postoperative summarized in Table 3 4–14,16–52 . The incidence rate of a particular complication was reported as the fraction of eyes experiencing the complication out of the total number of eyes in all studies reporting this complication.…”

Section: Resultsmentioning

confidence: 99%

“…62 In this systematic review, 12 studies were on sutureless, glueless SFIOL with a total of 463 eyes. 10,17,18,20,22,27,33,39,40,45,48,52 Outcomes and Complications of Sutureless, Glueless SFIOL…”

Section: A Modified No-assistant Glued Sfiol Techniquementioning

confidence: 99%

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A Systematic Review on Three Major Types of Scleral-Fixated Intraocular Lens Implantation

Wong

Kam

Rapuano

et al. 2021

Asia-Pacific Journal of Ophthalmology

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Purpose: We performed a systematic review on 3 major types of scleral-fixated intraocular lens (SFIOL) implantations and conducted subgroup analyses on pediatric population and subjects with Marfan syndrome. Design: Systematic review. Methods: We performed a search in PubMed, Ovid MEDLINE, and Embase for English language articles with keywords “(sutured intraocular lens) OR (SFIOL) OR (sutureless intraocular lens) OR (glued intraocular lens) OR (intrascleral intraocular lens) OR (SFIOL)” through October 16, 2019. Articles reporting individual outcomes after SFIOL were included in this systematic review. Recorded outcome measures included intraoperative and postoperative complications, endothelial cell changes, and intraocular lens-related outcomes. Results: Our search yielded 217 papers. After removing duplicated and irrelevant reports, we included 57 articles involving 2624 eyes. The mean age at operation was 51.47 ± 25.62 years. Sutured SFIOL was most commonly reported in all subjects with Marfan syndrome and 92.87% of pediatric patients. The pooled intraoperative complication rate was 6.65%. Minor anterior chamber hemorrhage was the most common intraoperative (1.92%) and postoperative complication (13.93%). Optic capture was the top intraocular lens (IOL)-related complication (4.47%). The overall mean endothelial cell loss was 8.95% at 16.77 ± 11.04 months. Overall 11.99% of SFIOLs were decentred with a mean distance of 0.49 ± 0.40 mm and a mean degree of tilt by 4.11 ± 3.03°. Conclusions: Glued SFIOL had the fewest IOL-related complications and the lowest endothelial cell loss. Sutured SFIOL carried the highest IOL-related complications, whereas sutureless, glueless SFIOL was associated with the greatest endothelial cell loss.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: A Modified No-assistant Glued Sfiol Techniquementioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review on Three Major Types of Scleral-Fixated Intraocular Lens Implantation

Wong

Kam

Rapuano

et al. 2021

Asia-Pacific Journal of Ophthalmology

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“…Vitreous hemorrhage, intrinsic to trans scleral incisions 8 , 9 , 13–17 , 23 , 24 , 26 and ciliary sulcus-based sclerotomies 14 was noted in 46.5% of our patients; this was incidentally high for SFIOL surgery. Vitreous hemorrhage could be attributable to incising the pre-existing sclero-corneal tunnel all over again (41.8%), the relative inexperience of the surgeons in fashioning sclero-corneal tunnels, and operating on eyes with a preceding history of trauma (32.6%).…”

Section: Discussionmentioning

confidence: 57%

Scleral Fixation of Intraocular Lens in Aphakic Eyes without Capsular Support: Description of a New Technique

Behera¹,

Thakur²

2021

OPTH

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Purpose To study the efficacy and safety of a modified trans-scleral intraocular lens (IOL) fixation technique in aphakic eyes when performed by ophthalmologists in training. Methods The study was conducted in an institutional setting that included 43 surgeries performed by surgeons training in small incision cataract surgeries. The data were analyzed for stability and position of IOL, refractive changes, best-corrected vision, and associated complications. Results Mean age of the subjects was 53.8 ± 18.5yrs (range 6–81yrs). Surgical aphakia (58.14%) was the most common cause. The corrected distance visual acuity improved significantly at six weeks (p = 0.0003). The mean residual spectacle correction was +0.74 ± 1.2D spherical equivalent (cylinder −1.6±1.5D at 84 ± 50°) at the 6th-month follow-up (24.35 ± 6.71wks). Lens tilt on ultrasound biomicroscopy (kappa 0.762; p < 0.001) and the IOL centration (kappa 0.411; p = 0.001), assessed by two independent masked observers, were satisfactory at the 6th-month visit. Transient postoperative vitreous hemorrhage was the most common complication (46.5%). Cellular deposits on the IOL surface (18.6%), cystoid macular edema (11.6%), subconjunctival haptic exposure (4.66%), and haptic slippage (2.33%) were the other complications. Conclusion This method of trans-scleral IOL fixation is an effective rescue procedure for eyes with deficient capsular support when ophthalmologists perform in training.

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Long-term Outcomes of Fibrin Glue–Assisted Intrascleral Haptic Fixation of Posterior Chamber Intraocular Lenses in Children

Sinha

Asif²,

Kalra³

et al. 2021

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Objectives: To evaluate the long-term outcomes of intrascleral haptic fixation of posterior chamber intraocular lens (PCIOL) with fibrin glue in children. Methods: This is a retrospective case study conducted in a tertiary eye institute in North India. A total of 118 eyes of 82 children who underwent glued intrascleral haptic fixation of PCIOLs were retrospectively analyzed. Detailed analysis of the indication for surgery and ocular and systemic associations was performed. The outcome measures included intraoperative complications, final visual and refractive outcomes, and postoperative complications.Results: The mean age of the patients was 10.1663.94 years. Fifty-one patients (62.2%) were male and 31 (37.8%) were female. The mean followup period was 31.28613.22 months. The mean preoperative corrected distance visual acuity was 1.1860.63 Logarithm of Mean angle of resolution (logMAR) which improved to 0.6060.58 logMAR postoperatively at 6 weeks (P,0.001). The mean preoperative and 6 weeks postoperative endothelial cell density were 3,176.086318.6 and 2,9366289.9 cells/mm 2 , respectively (P¼0.23). In the immediate postoperative period, corneal edema (19 eyes; 16.1%), decentered IOL/tilt (3 eyes; 2.54%), vitreous hemorrhage (3 eyes; 2.54%), optic capture (4 eyes; 3.38%), and hypotony (2 eyes; 1.69%) were seen. In the late postoperative period (.6 weeks), retinal detachment was observed in two eyes that had associated Marfan syndrome. Cystoid macular edema was seen in four eyes (3.38%), and glaucoma was seen in five eyes (4.23%). Conclusions: Fibrin glue-assisted intrascleral haptic fixation of a PCIOL is a safe and effective method to manage aphakia with inadequate capsular support in children.

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Retrospective Study of Visual Outcomes and Complications After Sutureless, Flapless, and Glueless Intrascleral Fixation of Posterior Chamber Intraocular Lens in Children and Young Adults

Abstract: The technique of flapless, glueless, and sutureless scleral fixation of a three-piece IOL has shown significant improvement in visual acuity and does not cause significant complications postoperatively. [J Pediatr Ophthalmol Strabismus. 2017;54(6):381-386.].

Cited by 3 publications

References 13 publications

A Systematic Review on Three Major Types of Scleral-Fixated Intraocular Lens Implantation

A Systematic Review on Three Major Types of Scleral-Fixated Intraocular Lens Implantation

Scleral Fixation of Intraocular Lens in Aphakic Eyes without Capsular Support: Description of a New Technique

Long-term Outcomes of Fibrin Glue–Assisted Intrascleral Haptic Fixation of Posterior Chamber Intraocular Lenses in Children

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