Surgical outcomes and complications of sutured scleral fixated intraocular lenses in pediatric eyes

Sen, Parveen; Saurabh, Kumar; Bhende, Pramod; Rishi, Pukhraj; Rishi, Ekta; Rao, Chetan; Ratra, Dhanashree; Susvar, Pradeep; Sreelakshmi, Kummamuri; Shaikh, Sufiyan; Gopal, Lingam

doi:10.1016/j.jcjo.2017.07.015

Cited by 27 publications

(35 citation statements)

References 25 publications

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“…Structurally, R-IOL provides better stability and lower risks of IOL tilt or dislocation than iris-or scleral-sutured lenses. In addition, the absence of sutures for IOL scleral fixation lowers the risk for suture-related complications, such as conjunctival erosion, scleromalacia, and endophthalmitis 9,10 . Many previous studies have shown that secondary R-IOL is a safe and efficacious technique for correcting various aphakic conditions with [11][12][13][14][15][16][17] or without IOL dislocation 3,18 .…”

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confidence: 99%

Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation

Choi

Lee

Kang

et al. 2021

Sci Rep

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We aimed to investigate the efficacy and safety of primary retropupillary iris claw intraocular lens (R-IOL) implantation in patients with complete intraocular lens (IOL) dislocation. In this single-center retrospective case series, we reviewed the medical records of patients who underwent R-IOL implantation surgery with pars plana vitrectomy for the treatment of IOL dislocation between September 2014 and July 2019. The primary outcome was change in visual acuity (VA) up to 24 months postoperatively. The secondary outcomes included changes in intraocular pressure (IOP), refractive errors, and endothelial cell count (ECC) over the same period. Data of 103 eyes (98 patients) were analyzed. The mean uncorrected VA was significantly improved at one month postoperatively (− 0.69 logMAR, P < 0.001), compared to the preoperative value. IOP (− 2.3 mmHg, P = 0.008) and ECC (− 333.4 cells/mm2, P = 0.027) significantly decreased one month post-surgery and remained stable thereafter. Postoperative mean spherical equivalents were similar to the prediction error throughout the follow-up period. IOP elevation (n = 8, 7.8%), cystoid macular edema (n = 4, 3.9%), and dislocation of the R-IOL (n = 10, 9.7%) were managed successfully. Overall, primary R-IOL implantation with pars plana vitrectomy is effective and safe for correcting IOL dislocation due to various causes.

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confidence: 99%

Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation

Choi

Lee

Kang

et al. 2021

Sci Rep

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“…However, with the development of surgical techniques, the rates have declined. In children with sutured SF-PCIOL, the incidence of IOL decentration varied from 4.6% to 24% [11, 13, 19]. In the series with longer follow-up periods and younger age of patients, the IOL decentration seemed to occur more frequently [11, 18].…”

Section: Discussionmentioning

confidence: 99%

Sutured Scleral Fixation of Posterior Chamber Intraocular Lens in Children under the Age of 9 with Congenital Ectopia Lentis

et al. 2021

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Introduction: This study aimed to report the visual acuity outcomes and complications of sutured scleral fixation of posterior chamber intraocular lens (IOL) in children under 9 years old with congenital ectopia lentis. Methods: Twenty-six children (47 eyes) with congenital ectopia lentis were included in this study. The mean age at surgery was 61.6 ± 22.3 months (range, 32–94). Patients underwent lens extraction, anterior vitrectomy, and sutured scleral fixation of posterior chamber IOL. The implanted IOL included rigid polymethyl methacrylate (PMMA) IOL (CZ70BD, n = 36) and foldable IOL (SA60AT, n = 9, and LI61SE, n = 2). The outcome measures used to assess the benefits were uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), refraction, intraocular pressure, and any associated complications. Median follow-up was 33.0 months (range, 4–129). Results: After surgery, the median UCVA (1.30 vs. 0.35 logMAR) and BCVA (0.82 vs. 0.15 logMAR) improved significantly (p < 0.001). The median absolute spherical values decreased considerably (9.00 vs. 0.75 D; p < 0.001). The median astigmatism was lower in foldable IOL compared to rigid PMMA IOL (1.0 vs. 2.5 D; p = 0.026), but neither the UCVA nor BCVA was significantly different. There was no intraoperative complication. Postoperative complications included pupillary capture in 4 eyes (9%), IOL decentration in 4 eyes (9%), choroid edema in 1 eye (2%), and subretinal hemorrhage in 1 eye (2%). The rate of secondary surgery was 9%, caused by IOL decentration of IOL haptics which was broken in 3 eyes and suture degradation in 1 eye. Conclusion: Sutured scleral fixation of posterior chamber IOL provided good visual outcomes in children under 9 years of age with congenital ectopia lentis. Although there were some risks of secondary surgery, the complications were acceptable.

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“…В свою очередь все способы транссклеральной фиксации при реимплантации ИОЛ различают по способу проведения нитей ab interno [29][30][31] или ab externo [31][32][33], каждый из которых имеет свои плюсы и минусы и соответственно сторонников их использования среди хирургов. С целью предотвращения возможных осложнений, связанных с нахождением фиксирующего узла под конъюнктивой, предложены различные способы его покрытия или погружения в склеру [34][35][36]. Все перечисленные способы фиксации ИОЛ в цилиарной борозде эффективно применяются для реимплантации искусственного хрусталика.…”

Section: обзоры литературы Literature Reviewsunclassified

Evolution of IOL exchange. Part 1. Development of methods for IOL exchange

Yusef¹,

Yusef²,

Ivanov³

et al. 2020

Vestn. oftal'mol.

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Surgical outcomes and complications of sutured scleral fixated intraocular lenses in pediatric eyes

Abstract: SSFIOLs are effective in correcting aphakia in children; long-term follow-up of these children is, however, necessary.

Cited by 27 publications

References 25 publications

Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation

Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation

Sutured Scleral Fixation of Posterior Chamber Intraocular Lens in Children under the Age of 9 with Congenital Ectopia Lentis

Evolution of IOL exchange. Part 1. Development of methods for IOL exchange

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