Suture refixation and recentration of a subluxated capsular tension ring–capsular bag–intraocular lens complex

Gimbel, Howard V.; Amritanand, Anika

doi:10.1016/j.jcrs.2013.10.002

Cited by 9 publications

(6 citation statements)

References 15 publications

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“…Treatment of suture breakage was in most cases performed as surgical repositioning with suture re-fixation, which has been described by others as a suitable approach. 29 This may be performed with a new suture through the eyelet of the MCTR, or with one or two suture loops 180 degrees apart through the capsule and around the IOL haptics and the MCTR. Using two sutures is similar as we perform repositioning surgery for late in-the-bag IOL dislocation surgery.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

Kristianslund¹,

Sandvik²,

Drolsum³

2021

OPTH

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Aim To investigate the long-term risk of suture breakage after implantation of a modified capsular tension ring (MCTR) fixated to the sclera with polypropylene 10–0 suture. Methods Retrospective case series of operations for subluxated phakic lenses in 2007–2015 with implantation of an MCTR secured with a 10–0 polypropylene suture as part of an intraocular lens (IOL)-capsular bag complex. Results We identified 132 eyes (92 patients) operated on with an MCTR. Of these eyes, 26 (20%) had suture breakage requiring re-operation, while another eight eyes (6%) had suture breakage that did not require surgery. The re-operations occurred after a mean 4.8±3.3 years. Suture breakage occurred in patients with a mean age of 34.0±23.3, as compared to 43.2±26.0 years for patients who did not experience this complication (p=0.36). In patients aged 40 years or younger at the time of surgery, 47% experienced suture breakage in one or both eyes, as compared to 19% in the age group 41–69 years and 13% in the age group 70 years and older (p=0.004). Of the 132 eyes that were operated on, we registered one case (0.8%) of possible suture-related late endophthalmitis. Conclusion The long-term risk of suture breakage was quite high after scleral fixation of the MCTR in this patient cohort, and it seems as the risk is increased with young age.

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Section: Discussionmentioning

confidence: 99%

Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

Kristianslund¹,

Sandvik²,

Drolsum³

2021

OPTH

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“…[1][2][3][4][5][6] Although numerous publications have introduced several surgical methods of transscleral fixation using various types of IOL, ophthalmologists are often unsure which type of IOL to use and how it should be fixed. 3,[5][6][7][8][9][10][11][12][13][14][15][16][17][18] Maintaining proper lens position is one of the important factors for a successful transscleral fixation. However, IOL-related complications, including decentration, tilting, and dislocation, are major concerns for surgeons using the transscleral fixation method.…”

mentioning

confidence: 99%

Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction

Yang

Yoon

2015

Canadian Journal of Ophthalmology

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“…There are a few options to save the dislocated capsular bag–IOL complex. In a technique introduced by Gimbel and Amritanand, 14 two or preferably three double-armed 10-0 polypropylene sutures are passed around the fibrotic continuous curvilinear capsulorhexis rim before they come out through the bed of Hoffman scleral pockets. Scleral fixation of a dislocated capsular bag has been performed in a few case series.…”

Section: Discussionmentioning

confidence: 99%

Trans-iris fixation of dislocated in-the-bag intraocular lenses

Faramarzi

Feizi

Yazdani

2019

European Journal of Ophthalmology

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Purpose: The aim of this article is to describe the safety and efficacy of trans-iris suture fixation for the management of late dislocation of in-the-capsular-bag intraocular lenses following uncomplicated cataract surgery. Patients and methods: Eleven eyes of 11 patients with late in-the-capsular-bag intraocular lens dislocation following uneventful phacoemulsification cataract surgery were recruited in the study. The dislocated intraocular lens–capsular bag complex was sutured to the iris at two points 180° apart using 9-0 polypropylene sutures on long needles. Results: Mean patient age was 67 ± 6 years. Seven eyes had pseudoexfoliation syndrome, one eye had Marfan syndrome, and another eye had a traumatic cataract; no risk factor was identified for intraocular lens dislocation in two eyes. A capsular tension ring had been implanted during cataract surgery in four eyes. In six eyes, the posterior chamber intraocular lenses were one-piece foldable while the remaining were three-piece intraocular lenses. Compared to the preoperative value, corrected distance visual acuity was significantly improved postoperatively ( p < 0.005). Intraoperative hyphema occurred in two eyes. Pupil ovalization was observed in all eyes. Mean endothelial cell count decreased by 4 ± 1.7% after intraocular lens fixation. The capsular bag–intraocular lens complex was stable and well-centered in the pupillary area in all eyes at the final follow-up examination which was performed 16 ± 4 months postoperatively. Conclusion: Trans-iris fixation is a simple and effective procedure for management of late intraocular lenses–capsular bag complex dislocation, without major complications.

show abstract

Suture refixation and recentration of a subluxated capsular tension ring–capsular bag–intraocular lens complex

Cited by 9 publications

References 15 publications

Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction

Trans-iris fixation of dislocated in-the-bag intraocular lenses

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