Scleral pockets for an innovative technique of intrascleral fixation of intraocular lens

Postorino, Maurizio; Meduri, Alessandro; Tumminello, Giuseppe; Rechichi, Miguel; Caparello, O.; Aragona, Pasquale

doi:10.1177/1120672119866018

Cited by 10 publications

(9 citation statements)

References 11 publications

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“…Of all the 625 severe OGIs, 53 eyes (8.5%) underwent intraocular lens (IOL) related surgery at last. Thirty-seven eyes underwent IOL implant and 16 eyes underwent sclera suture or intrascleral fixation ( 3 ).…”

Section: Resultsmentioning

confidence: 99%

Clinical Analysis of Adult Severe Open-Globe Injuries in Central China

et al. 2021

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Purpose: To describe the characteristics, management, and outcomes of adult severe open-globe injured (OGI) eyes.Methods: Retrospective chart review of inpatients with initial visual acuity (VA) of light perception (LP) or no light perception (NLP) associated with OGI between 2017 and 2020 at Department of Ophthalmology, Henan Eye Institute, Henan Eye Hospital, Henan provincial People's Hospital.Results: Six hundred twenty-five eyes of 622 adult patients with initial VA of LP or NLP associated with open-globe injuries (OGIs) were included. The mean age was 47.8 ± 14.1 years with the range from 18 to 91 years. Significant male predominance was noted (81.5%). The most common type of these severe OGIs was rupture (65.8%). Traffic accidents accounted for 13.5% followed by fall/tumble (10.9%) and nail/wire (10.9%) of all the severe OGIs. Almost half of the injuries happened at workplace (47.2%). Initially, 78.7% eyes just received primary debridement and wound closure, while 8.5% eyes with no possible of anatomical reconstruction received evisceration. After initial management, 350 eyes received subsequent operation, including 239 eyes underwent vitrectomy + silicone oil/(+cataract remove). Finally, over 6 months follow-up, 137 eyes (21.9%) were eviscerated, 150 eyes (24.0%) got atrophied, while 132 eyes (21.1%) retain some VA. Fifty-three eyes (8.5%) got VA of 0.3–1.5.Conclusion: Severe OGIs are most seen in the young, middle-aged, and male working population and remain a serious public health problem, resulting in significant vision loss or Evisceration of eyes. Effective preventive measures should be taken for the individuals in these groups.

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Section: Resultsmentioning

confidence: 99%

Clinical Analysis of Adult Severe Open-Globe Injuries in Central China

et al. 2021

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“…The anterior segment should also be carefully examined for any retained nuclear fragment, which may later lead to inflammation and require surgical removal. 10 In our case, we proceeded within toto crystalline lens extraction combined with scleral perforation repair using 6-0 vicryl and the eye was left aphakic.…”

Section: Images In…mentioning

confidence: 89%

Migrated subconjunctival crystalline lens: a traumatic phacocele

2020

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“…For an accommodating IOL that changes its shape, the capsule bag should remain as elastic as possible after surgery, avoiding fibrotization. Capsular contraction and myopia may also lead to IOL subluxation requiring innovative solutions for repair [ 25 ]. Our study on low-diopter IOLs elucidates the relationship of PCO and myopia.…”

Section: Discussionmentioning

confidence: 99%

Intraocular Lens Power, Myopia, and the Risk of Nd:YAG Capsulotomy after 15,375 Cataract Surgeries

Lindholm

Laine

Tuuminen

2020

JCM

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The present study estimated the 5-year cumulative probability of Nd:YAG laser posterior capsulotomy according to the diopter power of implanted hydrophobic acrylic intraocular lenses (IOLs). Data were retrospectively collected of 15,375 eyes having cataract surgery and in-the-bag implantation of hydrophobic acrylic monofocal IOLs at the Ophthalmology Unit of Kymenlaakso Central Hospital, Kotka, Finland between the years 2007 and 2016. The cumulative probability of Nd:YAG capsulotomy was calculated by Kaplan–Meier estimates, and potential risk factors were analyzed using the Cox proportional hazards model. The 5-year cumulative probability of Nd:YAG capsulotomy after cataract surgery was 27.4% (95% confidence interval (CI) 22.9–32.6%) for low-diopter (5–16.5 D) IOLs, 14.6% (13.8–15.5%) for mid-diopter (17–24.5 D) IOLs, and 13.6% (11.7–15.6%) for high-diopter (25–30 D) IOLs. A multivariate Cox regression analysis showed that low-diopter IOLs (HR 1.76; 95% CI 1.38–2.25; p < 0.001) were associated with an increased risk of Nd:YAG capsulotomy compared to mid-diopter IOLs over the follow-up period after accounting for other predictors. Real-world evidence shows that low-diopter IOLs are associated with significantly higher risk of Nd:YAG capsulotomy within five years following implantation. Estimation should help in evaluating the risks of cataract surgery in myopic eyes.

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Scleral pockets for an innovative technique of intrascleral fixation of intraocular lens

Cited by 10 publications

References 11 publications

Clinical Analysis of Adult Severe Open-Globe Injuries in Central China

Clinical Analysis of Adult Severe Open-Globe Injuries in Central China

Migrated subconjunctival crystalline lens: a traumatic phacocele

Intraocular Lens Power, Myopia, and the Risk of Nd:YAG Capsulotomy after 15,375 Cataract Surgeries

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