Monoscleral fixation of IOL after extracapsular extraction of subluxated lenses in patients with Marfan syndrome

Ghanem, Vinı́cius Coral; Ghanem, Emir Amin; Ghanem, Ramon Coral; Arieta, Carlos Eduardo Leite

doi:10.1590/s0004-27492004000500013

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…In our series, BCVA of 5/10 or better was noted in 22 cases (38.59%). This is lower than reported by other authors [4,10,11], but the difference is that we did not exclude from our study the patients with associated lesions: RD, IOFB, and ruptured globe. In these circumstances, the final functional prognosis is influenced not only by IOL implantation technique but mainly by the consequences of other major ocular injuries.…”

Section: Visual Acuitycontrasting

confidence: 61%

Scleral-Fixated Intraocular Lens: Indications and Results

Nicoară¹

2020

Intraocular Lens

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Currently, ideal cataract surgery should end with the placement of an intraocular lens (IOLs) in the bag. However, in the clinical setting we have to manage cases without enough capsular support to allow the physiological IOL placement. Progress has been made in terms of IOL designs and implantation techniques. The options should be analyzed not only in accordance with surgeon's experience but also with patient's age, local, and systemic comorbidities. Thus, in the absence of an appropriate capsule, IOL can be placed in the anterior chamber, fixated to the iris or to the sclera wall. In this paper, the personal experience of one surgeon with ab externo scleral-fixated IOLs is presented, with the aim to outline the place of this surgical technique in the correction of aphakia. A retrospective study was carried out, including 57 patients in which an IOL was fixated to the sclera, throughout January 2015-April 2019. The causes of aphakia, preoperative and postoperative best-corrected visual acuities (BCVA), and intraand postoperative complications are analyzed. Statistical tests were applied in order to draw significance. In most instances, BCVA has remained stable, with no significant complications, making sclera fixation IOL a viable solution in the correction of aphakia.

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Section: Visual Acuitycontrasting

confidence: 61%

Scleral-Fixated Intraocular Lens: Indications and Results

Nicoară¹

2020

Intraocular Lens

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“…Ghanem and colleagues. [14] also reported astigmatism as occurring complication in 3 eyes (21.4%). Similarly, Sasahara and Kiryu.…”

Section: Complicationsmentioning

confidence: 89%

“… Ghanem and colleagues. [14,15] reported postoperative BCVA of 6/9 or better in 10 (71.43%) out of 14 eyes undergoing scleral fixation of IOL.  Similarly, Ozdekandco -workers.…”

Section: Discussionmentioning

confidence: 99%

Scleral Fixation Iol: Outcome and Complications

M¹

2016

jemds

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“…Entretanto, a subluxação de cristalino, que também esteve presente em vários pacientes, não é citada na literatura como fator importante na distinção diagnóstica. Esses pacientes são confundidos, muitas vezes, com a síndrome de Marfan, na qual o cristalino também se encontra subluxado (27) . A distinção se fez em relação ao local da subluxação, súpero-lateralmente na maioria dos pacientes com sín-drome de Marfan e súpero-medialmente e bilateral em todos os pacientes com subluxação avaliados neste artigo, além de não haver nenhum paciente com comprometimento cardíaco ou qualquer outra alteração típica da síndrome de Marfan, como por exemplo, aracnodactilia (em 88% dos casos) (27) .…”

Section: Discussionunclassified

“…Esses pacientes são confundidos, muitas vezes, com a síndrome de Marfan, na qual o cristalino também se encontra subluxado (27) . A distinção se fez em relação ao local da subluxação, súpero-lateralmente na maioria dos pacientes com sín-drome de Marfan e súpero-medialmente e bilateral em todos os pacientes com subluxação avaliados neste artigo, além de não haver nenhum paciente com comprometimento cardíaco ou qualquer outra alteração típica da síndrome de Marfan, como por exemplo, aracnodactilia (em 88% dos casos) (27) . Para complementar a distinção sindrômica, o PPMF indicou alteração marfanóide, entretanto diferente das alterações encontradas na síndrome de Marfan (25) .…”

Section: Discussionunclassified