Clinical Outcomes of Glued Transscleral Fixated Intraocular Lens in Functionally One-Eyed Patients

Kumar, Dhivya Ashok; Agarwal, Amar; Athiya, Agarwal; Chandrasekar, Radhika

doi:10.1097/icl.0000000000000039

Cited by 2 publications

(7 citation statements)

References 21 publications

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“…GSFIOL is a technique described in 2008 in cases with posterior capsule dehiscence 61 . In this systematic review, only 9 studies reported the outcome and complications of glued SFIOL 5,6,11,12,26,28,35,47,54 …”

Section: Resultsmentioning

confidence: 99%

“…Forty-eight studies reported postoperative summarized in Table 3 4–14,16–52 . The incidence rate of a particular complication was reported as the fraction of eyes experiencing the complication out of the total number of eyes in all studies reporting this complication.…”

Section: Resultsmentioning

confidence: 99%

“…5,14,19,34,35,37,43,48,50,55,56 Decentration of IOL was reported in 96 eyes (11.99%) in 23 studies including 801 eyes. 4,5,7,9,[13][14][15]25,26,28,[30][31][32][34][35][36]41,45,46,49,[55][56][57] Among all the studies reporting postoperative IOL decentration, only 1 reported the visual outcome (of BCVA 20/25) in an eye with IOL decentration. 28 Four eyes required secondary surgical operations (4.17%).…”

Section: Iol-related Complicationsmentioning

confidence: 99%

“…The mean preoperative BCVA was 0.85 AE 0.80 and the mean postoperative BCVA was 0.21 AE 0.39. There were a total of 7 IOL related complications (3.10%) namely 3 IOL decentrations (1.33%), 26,28 3 IOL optic capture (1.33%) 26,28 and 1 haptic exposure/erosion (0.44%). 6 The mean endothelial cell loss was 8.05% at a mean follow-up period of 7.45 AE 1.45 months.…”

Section: Outcomes and Complications Of Glued Sfiolmentioning

confidence: 99%

“…6 The mean endothelial cell loss was 8.05% at a mean follow-up period of 7.45 AE 1.45 months. 12,28,47,54 There was no report of clinically significant IOL tilting; however, Sinha et al 47 reported 1.78 AE 0.978 of IOL tilting as measured by ultrasound biomicroscopy, whereas Kumar et al 26,35 reported 21 eyes (35%) that showed an average IOL tilting of 3.2 AE 2.78 on the horizontal axis and 2.9 AE 2.68 on the vertical axis as measured by anterior segment optical coherence tomography. No association was found between the postoperative BCVA and the degree of IOL tilting in these studies.…”

Section: Outcomes and Complications Of Glued Sfiolmentioning

confidence: 99%

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A Systematic Review on Three Major Types of Scleral-Fixated Intraocular Lens Implantation

Wong

Kam

Rapuano

et al. 2021

Asia-Pacific Journal of Ophthalmology

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Purpose: We performed a systematic review on 3 major types of scleral-fixated intraocular lens (SFIOL) implantations and conducted subgroup analyses on pediatric population and subjects with Marfan syndrome. Design: Systematic review. Methods: We performed a search in PubMed, Ovid MEDLINE, and Embase for English language articles with keywords “(sutured intraocular lens) OR (SFIOL) OR (sutureless intraocular lens) OR (glued intraocular lens) OR (intrascleral intraocular lens) OR (SFIOL)” through October 16, 2019. Articles reporting individual outcomes after SFIOL were included in this systematic review. Recorded outcome measures included intraoperative and postoperative complications, endothelial cell changes, and intraocular lens-related outcomes. Results: Our search yielded 217 papers. After removing duplicated and irrelevant reports, we included 57 articles involving 2624 eyes. The mean age at operation was 51.47 ± 25.62 years. Sutured SFIOL was most commonly reported in all subjects with Marfan syndrome and 92.87% of pediatric patients. The pooled intraoperative complication rate was 6.65%. Minor anterior chamber hemorrhage was the most common intraoperative (1.92%) and postoperative complication (13.93%). Optic capture was the top intraocular lens (IOL)-related complication (4.47%). The overall mean endothelial cell loss was 8.95% at 16.77 ± 11.04 months. Overall 11.99% of SFIOLs were decentred with a mean distance of 0.49 ± 0.40 mm and a mean degree of tilt by 4.11 ± 3.03°. Conclusions: Glued SFIOL had the fewest IOL-related complications and the lowest endothelial cell loss. Sutured SFIOL carried the highest IOL-related complications, whereas sutureless, glueless SFIOL was associated with the greatest endothelial cell loss.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%