Treatment of anterior vitreous before suturing an intraocular lens to the ciliary sulcus

Abstract

Our findings indicate that suturing the IOL to the ciliary sulcus should be followed by the removal of as much anterior vitreous and lens capsule as possible to prevent such postoperative complications as tractional retinal detachment and cystoid macular edema.

Visual outcomes following Artisan aphakia iris claw lens implantation

“…Their methodology and patient cohort (non-vitrectomised eyes) were sufficiently different from ours to prevent a direct comparison of outcomes, but placement of SPCIOLs requires more surgical manipulation and carries the risk of vitreous traction with the possibility of ensuing rhegmatogenous retinal detachment. 15 Other possible complications include tilting of the implant, decentration, or dislocation, and transscleral suture erosion.…”

Risk Factors for Pseudophakic Retinal Detachment After Intraocular Lens Scleral Fixation With or Without Pars Plana Vitrectomy

“…4 However, the theoretical benefits of reducing the postoperative incidence of RD associated with vitreous traction have not been proven. 5 Previous studies described that the rate of RD after IOL scleral fixation without PPV was 1.1% to 4.9%.…”

“…In this series, the incidence of postoperative RD was similar to that of other reports. 1,3,4,[11][12][13] Generally, it may be difficult to compare the results of these two kinds of surgical methods directly because the surgical approach is biased by patient selection criteria, different follow-up periods, and different underlying diseases. In the present study, we excluded the cases of follow-up periods Ͻ6 months, previous intraocular surgeries except cataract operations (penetrating keratoplasty, PPV, scleral buckling procedure, filtering surgery, and so on), history of eyeball laceration or penetration wound, panretinal photocoagulation for ocular neovascular disease before or within 6 months after IOL scleral fixation, gas or oil tamponade if vitrectomy was performed, and scleralfixated suturing of only one haptic to remove the potential influencing factors for the development of RD and to minimize selection bias.…”

Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses

“…Careful PPV also seems to be important when a scleral-fixated IOL is planned. Nabors et al 22 and Tsunoda et al 23 advocate it to prevent vitreoretinal complications.…”