Scleral-Sutured Intraocular Lens Dislocations Secondary to Eyelet Fractures

Watane, Arjun; Botsford, Benjamin; Sood, Ankit; Williams, Andrew M.; Xu, David; Gupta, R. Rishi; Sivalingam, Arunan; Gupta, Omesh P.; Ward, Matthew S.; Mehta, Sonia; Cid, Mario Del; Crossan, Alessa; Sierpina, David; Hwang, Frank S.; Rachitskaya, Aleksandra; Ehmann, David; Kovacs, Kyle D.; Orlin, Anton; Zhang, Alice Yang; Patel, Upenkumar; Dubovy, Sander R.; Klufas, Michael A.; Patel, Nimesh A.; Sridhar, Jayanth; Yannuzzi, Nicolas A.

doi:10.1016/j.ajo.2020.07.049

Cited by 17 publications

(13 citation statements)

References 27 publications

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“…Finally, and perhaps most significant to the discussed IOL platform, is the potential for eyelet fracture with over-tightening as reported by Watane et al 12 In this study, the authors note that the original MX60 and MX60T have been replaced with MX60E and MX60ET, which have lower tensile strength at the eyelet and may result in a higher rate of fracture. Pollman et al compared the eyelet strength of MX60 and MX60E and found that that the MX60 was 67% stronger, though the result was not statistically significant.…”

Section: Discussionmentioning

confidence: 65%

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Ward¹,

Hou

Murphy

et al. 2021

OPTH

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Purpose To describe surgical technique and report short-term visual outcomes after suture-fixation of a single-piece eyelet-toric (SET) intraocular lens (IOL) for treatment of concurrent aphakia and astigmatism. Design Retrospective, noncomparative, and non-consecutive case series. Methods This was a case series of eleven eyes who underwent successful SET. Eligible eyes had loss of capsular support or aphakia with a minimum of symmetric corneal astigmatism 1.75 diopters (D). Outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), magnitude of residual refractive cylinder, and complications resulting from the SET procedure. Results Preoperative UDVA and CDVA in logMAR scale were 1.46 and 0.45, respectively. Mean preoperative keratometric and refractive cylinder were 3.67 D and 2.52D, respectively. Postoperative UDVA and CDVA were 0.51 and 0.27, respectively, three months after surgery (POM3). Residual refractive cylinder at POM3 was 0.93 D. Conclusion SET technique reduced refractive cylinder and improved UDVA and CDVA. SET may be adapted by surgeons using a readily available IOL and familiar scleral-fixation maneuvers.

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Section: Discussionmentioning

confidence: 65%

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Ward¹,

Hou

Murphy

et al. 2021

OPTH

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“…Fixing the 10-0 polypropylene on the haptic might also be confusing in this position, and an easy error of crossing of the 10-0 polypropylene might waste all time potentially gained. IOL damage was also described when passing through the injector in the presence of the suture with higher risk of disinsertion [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Kecik

Pajic

Quoy

et al. 2021

Journal of Ophthalmology

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Purpose. To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Results. The expected best corrected visual acuity could be achieved after one month. Surgeries were uneventful with a stable eye. No postoperative complications occurred except for one patient who had a conjunctival disinsertion. Neither postoperative hypotony nor raised IOP was found. Additionally, no patient experienced corneal edema at one week control, IOL dislocation, vitreous hemorrhage, or new pupil’s irregularity. Conclusions. In conclusion, each scleral technique has its own advantages and its inherent postoperative complications. To date, there is no evidence of superiority of any single technique. By improving our scleral sutured lens techniques, we could improve peroperative ocular stability, potentially decrease postoperative complication rate, and offer a rapid recovery with a stable visual acuity within a month.

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“…In one report, the eyelet was reported to have broken in 20 cases postoperatively and 5 cases intraoperatively. 13 IOL tilt requiring repositioning was a relatively rare complication, reported in the sutureless fixation techniques from 1% to 4.5%, 37,40 with no cases reported in Gore-Tex technique studies; however, it should be noted that many studies did not report lens tilt outcomes.…”

Section: Transient Complicationsmentioning

confidence: 98%

“…It should also be noted that there have been reports of eyelet breakage when using the MX60/E IOL for Gore-Tex sutured fixation. In one report, the eyelet was reported to have broken in 20 cases postoperatively and 5 cases intraoperatively 13…”

Section: Complications Rates Of Secondary Scleral Fixation Of Iolsmentioning

confidence: 99%

Complications of Secondary Scleral-fixated Intraocular Lens Placement

Massenzio¹,

Khan²

2022

International Ophthalmology Clinics

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Scleral-Sutured Intraocular Lens Dislocations Secondary to Eyelet Fractures

Cited by 17 publications

References 27 publications

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Complications of Secondary Scleral-fixated Intraocular Lens Placement

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