Surgical management of aphakia

Cheng, Kelvin; Tint, Naing L.; Sharp, John; Alexander, Philip S.

doi:10.1097/j.jcrs.0000000000000954

Cited by 4 publications

(3 citation statements)

References 68 publications

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“…Microspherophakia is an uncommon but severe condition, usually related to genetic syndromes that affect protein synthesis. Most cases are associated with severe zonular instability, preventing the implantation of the IOL inside the capsular bag [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Angle-closure glaucoma is a frequent associated complication and may be the initial presentation [1,2]. Scleral fixation of intraocular lenses is a surgical option in cases of washout of adequate capsular support or zonular insufficiency [3]. The z-suture technique, introduced by Szurman, is a knotless technique for transscleral suture fixation of IOLs, in which a needle is passed through the ciliary sulcus, and the suture is secured in the sclera by a zig-zag-shaped intrascleral suture, which is then cut without any knot [4].…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Microspherophakia Treatment With Scleral Fixated IOL Using a Z-suture Technique

Correia Barbosa,

Carvalho

2023

Cureus

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Microspherophakia constitutes a rare, mostly bilateral anomaly of the crystalline lens, which is characterized by the presence of an increased lens thickness and reduced equatorial diameter. It is frequently associated with lens subluxation, translating into a high degree of variable lenticular myopia and defective accommodation. The purpose of this report is to describe the treatment of a three-year-old female patient with microspherophakia, with the scleral fixation of an intraocular lens using the z-suture technique.A three-year-old female patient with Marfan Syndrome presented with high bilateral myopia and esotropia. Lens subluxation was perceived, and she was proposed for bilateral surgery. Scleral fixation of the intraocular lens was performed using the z-suture technique. During the five-year follow-up period, she maintained a best-corrected visual acuity of 20/20 in both eyes wearing bifocal glasses.Microspherophakia is a rare but impactful condition, frequently related to severe and variable refractive error due to the lens shape and zonule instability. Intraocular lens implantation in the capsular bag is usually impossible, and scleral fixation is a valid alternative. The z-suture technique avoids suture knots and the need for intrascleral flaps, reducing the risk of suture-related complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric Microspherophakia Treatment With Scleral Fixated IOL Using a Z-suture Technique

Correia Barbosa,

Carvalho

2023

Cureus

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“…Surgical management of aphakia overcomes these disadvantages and offers patients the possibility of a spectacle and contact lensfree lifestyle. 1 In patients with inadequate capsular support which precludes 'in the bag' placement, various options are available which include placement of IOL in the anterior chamber (ACIOL), fixation to the iris (Iris claw IOL), or fixation to the sclera (SFIOL), as a primary or secondary procedure.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome in patients with 4- point scleral fixated intraocular lens: Our experience

Divyalakshmi,

Singh,

Shambu

2024

IJOOO

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Visual rehabilitation following cataract surgery with compromised capsular bag includes various options like anterior chamber (ACIOL), fixation to the iris (Iris claw IOL), or fixation to the sclera (SFIOL), as a primary or secondary procedure. We studied the clinical outcome in patients who underwent 4- point fixation of SFIOLs. Retrospective data analysis of fourteen patients who underwent sclera fixated intraocular lens implantation from 2016 to 2018 at our institute under standard operative conditions was done. The postoperative vision by three months ranged from LogMAR 1.0 – 0.2, out of fourteen patients, BCVA in 60 % of the patients ranged from LogMAR 0.3-0.2 which was maintained at six months follow up with minimal complications. 4- point fixation of scleral fixated IOL is a good option with favourable outcome, in aphakics who are not ideal candidates for iris claw lens.

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Changes in corneal high order aberrations and anterior chamber parameters following scleral fixated intraocular lens implantation

Tellioglu

Beşek

Kirgiz

et al. 2023

Photodiagnosis and Photodynamic Therapy

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Surgical management of aphakia

Abstract: A review describing various options of surgical management of aphakia. Advantages and disadvantages of each technique is described and a clinical decision tree is proposed.

Cited by 4 publications

References 68 publications

Pediatric Microspherophakia Treatment With Scleral Fixated IOL Using a Z-suture Technique

Pediatric Microspherophakia Treatment With Scleral Fixated IOL Using a Z-suture Technique

Clinical outcome in patients with 4- point scleral fixated intraocular lens: Our experience

Changes in corneal high order aberrations and anterior chamber parameters following scleral fixated intraocular lens implantation

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