Sutureless intrascleral posterior chamber intraocular lens fixation

Gabor, Scharioth G.B.; Pavlidis, Mitrofanis

doi:10.1016/j.jcrs.2007.07.013

Cited by 414 publications

(266 citation statements)

References 25 publications

(13 reference statements)

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“…19 For additional stability, the haptic tip is tucked into the scleral wall through a tunnel, which prevents all movement of the haptic along the transverse axis. 10 Repositioning of the IOL is theoretically the best surgical option, because in most cases it is less traumatic than explanting the IOL and may provide optimum long-term visual and structural stability. 31 In the IOL exchange procedure, extracting an IOL that has dislocated into the vitreous cavity carries the risks inherent in vitreous prolapse, iris trauma, hypotony, and endothelial cell damage, and a large corneal wound (46 mm) can cause related problems such as corneal astigmatism.…”

Section: Discussionmentioning

confidence: 99%

“…5 In-the-bag IOL dislocation, however, usually occurs several years after cataract surgery and is thus thought to depend on slowly progressive dehiscence of the zonules. 6,7 When endocapsular IOL placement is not possible, the choices include sutured scleral-fixated IOLs, 8,9 sutureless scleral-fixated IOLs, 10,11 iris-fixated IOLs, 12 iris-claw IOLs, 13 or anterior chamber (AC) IOLs. 14 However, scleral-fixated IOLs are subject to problems such as suture degradation, pseudophacodonesis, endophthalmitis, and late IOL decentration owing to suture-related complications.…”

Section: Introductionmentioning

confidence: 99%

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Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Lee

Park

2015

Eye

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Aim The purpose of this study was to compare the surgical outcomes of intraocular lens (IOL) refixation with intraocular lens exchange using perfluorocarbon liquid (PFCL) and fibrin glue-assisted sutureless scleral fixation surgery in patients with dislocation of the IOL. Methods Twenty-five eyes of 25 patients who underwent surgery for dislocated IOLs with PFCL and fibrin glue-assisted scleral fixation were studied; 13 eyes experienced IOL refixation (in-the-bag and out-of-the-bag), and 12 eyes experienced IOL exchange. Preoperative and postoperative clinical features from patient charts and 25 eyes with 46 months' follow-up information were reviewed and analyzed. Results At postoperative 6 months, best-corrected visual acuity (BCVA) and spherical equivalent of IOL refixation and exchange were significantly improved (P = 0.042, P = 0.001), and endothelial cell density was significantly decreased in the two groups with no significant difference between them. Surgically induced astigmatism of IOL refixation improved from 0.90 ± 0.47 to 0.61 ± 0.37 (P = 0.012), and IOL exchange improved from 1.17 ± 0.64 to 0.73 ± 0.37 (P = 0.037) at postoperative 6 months, with no significant difference between the two groups. Complications occurred in four eyes in the IOL refixation group and in three eyes in the IOL exchange group.Conclusion PFCL and fibrin glue-assisted IOL sutureless scleral refixation or exchanged fixation was an effective surgical treatment for IOL dislocation. Also, because postoperative BCVA, surgical outcomes, and complications did not differ significantly between IOL refixation and exchange surgery, if IOL exchange surgery is not indicated, IOL refixation surgical techniques should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Lee

Park

2015

Eye

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“…There have been sutureless scleral fixation techniques 16,17 for PC IOL implantation in eyes with inadequate support in the recent past. Our technique differed from other sutureless methods by the externalisation of haptics under the scleral flaps instead of sclerotomy 16 and also the use of fibrin glue.…”

Section: Discussionmentioning

confidence: 99%

“…Our technique differed from other sutureless methods by the externalisation of haptics under the scleral flaps instead of sclerotomy 16 and also the use of fibrin glue. We preferred biological glue to stick the flaps, as it prevents formation of subconjunctival bleb, which may happen when the scleral flaps are sutured.…”

Section: Discussionmentioning

confidence: 99%

Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes

Kumar

Prakash

Jacob

et al. 2010

Eye

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Purpose To evaluate the post-operative outcome of fibrin glue-assisted posterior chamber intraocular lens (IOL) implantation in eyes with deficient capsular support after 1 year. Methods Eyes operated with fibrin glueassisted posterior chamber IOL implantation from December 2007 to May 2008 were included. The post-operative best spectaclecorrected visual acuity (BCVA), uncorrected visual acuity (UCVA), intraocular pressure (IOP), central macular thickness, and specular count were evaluated. IOL position and centration at 1 year was determined. The 1-year post-operative complications were analysed. Results A total of 53 eyes of 53 patients were analysed. There was significant improvement in UCVA (P ¼ 0.000) and BCVA (P ¼ 0.000). There was no significant change (P ¼ 0.447) in IOP from the pre-operative value. The early post-operative complication was decentration (5.6%). The late complication was pigment dispersion (3.7%) and healed macular oedema (7.5%). No vision threatening complications such as retinal break, retinal detachment, or endophthalmitis were seen. The percentage (%) loss of endothelial cells was 5.23 ± 3.4% at 1-year follow-up. No pseudophakodonesis was seen in the follow-up visits. Conclusion Results obtained at 1 year after fibrin glue-assisted posterior chamber IOL implantation showed a good visual outcome with minimal complications in eyes with deficient capsular support.

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“…[1][2][3][4][5][6] However, the sutureless scleral fixation (SSF) of posterior camera (PC)-IOL implantation has become more popular. [7][8][9][10] Recently, Gabor and Pavlidis 9 have first described a technique of SSF of PC-IOL. In this technique, IOL haptics are incarcerated into the prepared scleral tunnels (STs) and thus the stability of the PC-IOL is provided.…”

Section: Introductionmentioning

confidence: 99%

Trocar-assisted sutureless intrascleral posterior chamber foldable intra-ocular lens fixation

Totan

Karadağ

2012

Eye

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Purpose We report a novel technique characterized by sutureless scleral fixation of three-pieces foldable intraocular lens (IOL) using 25-gauge transconjunctival sutureless vitrectomy (TSV) trocars in patients with insufficient posterior capsule support. Materials and Methods We performed this technique on the eight eyes of the seven patients. The scleral tunnels (STs) are prepared by insertion of the 25-gauge TSV microcannulas using the trocars, and anterior vitrectomy is performed through the clear corneal paracentesis with the aid of anterior chamber maintainer (ACM). Finally, the threepiece foldable IOL haptics are incarcerated into the prepared STs. Results The patients were followed up 5-8 months. None of the patients had complications such as postoperative endophthalmitis, glaucoma, IOL tilt or decentralization, and retinal detachment. Injection of a foldable IOL through a clear corneal small incision also contributes the less surgical-induced astigmatism. Conclusion The presented novel sutureless scleral IOL fixation technique may provide minimal trauma to the surrounding tissues, good IOL stabilization decreasing the incidence of IOL tilt along with shorter operation time, and postoperative quiet eye.

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Sutureless intrascleral posterior chamber intraocular lens fixation

Cited by 414 publications

References 25 publications

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes

Trocar-assisted sutureless intrascleral posterior chamber foldable intra-ocular lens fixation

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