Scleral Fixation of Posterior Chamber Intraocular Lenses Using Gore-Tex Suture With Concurrent 23-Gauge Pars Plana Vitrectomy

Khan, Mohammed; Gerstenblith, Adam T.; Dollin, Michael; Gupta, Omesh P.; Spirn, Marc J.

doi:10.1097/iae.0000000000000233

Cited by 58 publications

(53 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent studies have shown favorable outcomes without severe complications. Khan et al 4 – 6 found no suture-related complications or retinal detachments.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture

Patel

Shah

Yannuzzi

et al. 2018

OPTH

View full text Add to dashboard Cite

PurposeTo report the visual outcomes and complications of scleral fixated intraocular lenses (IOLs) using Gore-Tex suture.MethodsThe current study is a retrospective noncomparative case series including patients who underwent scleral fixation of IOL (Akreos AO60) using Gore-Tex suture from August 2015 to March 2017 at a university teaching center. Primary outcome measures were visual acuity and complications at last follow-up.ResultsThe current study included 49 eyes of 48 patients. Mean follow-up duration postsurgery was 6.9 months (range: 0.9–29.4 months). The indications for secondary IOL surgery were dislocated IOL in 16/49 (33%), subluxed IOL in 9/49 (18%), dislocated or subluxed crystalline lens in 9/49 (18%), traumatic cataract in 8/49 (16%), and complicated cataract surgery in 7/49 (14%). Mean best-corrected logMAR visual acuity improved from 1±0.7 (20/200 Snellen equivalent) preoperatively to 0.5±0.5 (20/63 Snellen equivalent) at last follow-up. There were no intraoperative complications noted. Early postoperative complications included significant persistent corneal edema (longer than 1 week) in 4/49 (8.2%), ocular hypertension (intraocular pressure ≥25 mmHg) in 8/49 (16.3%), hypotony (intraocular pressure ≤5 mmHg) in 6/49 (12.2%), cystoid macular edema 3/21 (6.1%), IOL tilt 2/49 (4.1%), hyphema in 2/49 (4.1%), and vitreous hemorrhage in 5/49 (4.8%). There was one case of recurrent retinal detachment. One patient presented with an erosion of the Gore-Tex suture through the conjunctiva resulting in a purulent scleritis 6 months after the initial surgery, and was managed with removal of the IOL, debridement, and cryotherapy. Forty-one of 49 patients completed 3-month follow-up, among which visual acuity improved, deteriorated, or remained same compared to baseline in 27/49 (55.1%), 8/49 (16.3%), and 6/49 (12.2%) eyes, respectively.ConclusionIn the current study, visual acuity outcomes were generally favorable. The complications were largely transient. Significant complications included a suture-related infection, which required removal of the IOL, and a recurrence of a retinal detachment.

show abstract

“…Recent studies have shown favorable outcomes without severe complications. Khan et al 4 – 6 found no suture-related complications or retinal detachments.…”

Section: Discussionmentioning

confidence: 94%

“…In the recent reviews on this technique, largely from a single center, there have been no reports of suture breakage or retinal detachment. 4 – 6 The purpose of this study is to report the outcomes and complications of scleral fixated intraocular lenses using Gore-Tex suture as well as to review prior published data.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture

Patel

Shah

Yannuzzi

et al. 2018

OPTH

View full text Add to dashboard Cite

show abstract

“…The surgical technique has been separately described 8. The CZ60BD IOL has one eyelet on each side of the optic, while the Akreos AO60 IOL has two eyelets on each side of the optic.…”

Section: Methodsmentioning

confidence: 99%

Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile

Gupta²,

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Each identified case involved a concurrent PPV with 23-or 25-gauge instrumentation using the Constellation vitrectomy system (Alcon) and scleral fixation of an Akreos AO60 IOL using Gore-Tex suture and a modified technique. 6 Two localized conjunctival peritomies were created at the 3 and 9 o'clock positions. An infusion cannula was then placed inferotemporally 3 mm posterior to the limbus.…”

Section: Methodsmentioning

confidence: 99%

“…[3][4][5] As an alternative, ab externo scleral fixation using Gore-Tex (Gore Medical), a nonabsorbable polytetrafluoroethylene monofilament suture, has recently been described. 6 Gore-Tex has been shown to remain intact postoperatively for decades after cardiothoracic procedures. 7 Although ophthalmologists routinely use Gore-Tex suture in surgery, there are few reports that have detailed its use and long-term postoperative outcomes.…”

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

View full text Add to dashboard Cite

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.

show abstract

Scleral Fixation of Posterior Chamber Intraocular Lenses Using Gore-Tex Suture With Concurrent 23-Gauge Pars Plana Vitrectomy

Cited by 58 publications

References 13 publications

Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture

Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture

Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile

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

Contact Info

Product

Resources

About