Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction

Yang, Jae‐Ho; Yoon, Kyung-Chul; Ji, Yong‐Sok

doi:10.1016/j.jcjo.2015.07.006

Cited by 14 publications

(11 citation statements)

References 42 publications

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“…Preoperative refractive goals were achieved by the majority of patients in our study, however, the change was not statistically significant. Similar refractive outcomes have been reported by others implanting SFPCIOL, with variable refractive outcomes: more myopic outcomes reported by Terveen [ 22 ] and Fass [ 27 ], and slightly hyperopic outcomes reported by Yang and Abbey despite the SFPCIOL being positioned 1.5 mm and 2 mm behind the limbus respectively [ 28 ]. A study by Brunin et al found that SFPCIOL had the most myopic refractive outcomes when compared to the combination of iris, anterior chamber and sulcus fixated IOLs [ 11 ].…”

Section: Discussionsupporting

confidence: 78%

Outcomes of four-point suture fixated and two-point sutureless posterior chamber IOLs combined with pars plana vitrectomy

et al. 2022

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Background While each scleral fixation method has its own advantages, there is a lack of strong evidence to suggest a superior technique. Advances in cataract surgery expand patient eligibility for successful cataract extraction, benefitting a growing population of pseudophakic patients. However, implantation of secondary intraocular lens (IOL) with compromised anterior or posterior capsule is a more challenging task. Each method of scleral fixation has its own advantages and none of them has strong evidence to be superior. This paper describes postsurgical outcomes of two scleral intraocular(IOL) fixation techniques combined with pars plana vitrectomy(PPV) from a single tertiary referral eye center. Methods Patients underwent PPV and IOL implantation with either four-point sutured scleral fixation (Akreos AO60(AK); n = 24) or two-point sutureless flanged intrascleral fixation (CT Lucia(CTL); n = 7). Reports include IOL and sclerotomy placement, fixation techniques, and IOL model. Results Thirty-one eyes of thirty patients were analyzed. Average change in vision from baseline measurement was LogMAR − 0.68 ± 0.66 and − 0.90 ± 0.63 for AK and CTL groups, respectively. Average postoperative refractive error was − 0.3 ± 1.03 D (AK) and 0.4 ± 0.60 D (CTL). No opacification cases of Akreos lens were found in this study with the longest follow up of 53 months. Conclusions Both methods of implantation (sutured and sutureless) could provide good visual and refractive outcomes. Minimal complication rates were reported despite including patients with multiple comorbidities, making both techniques an attractive choice for secondary IOL implantation.

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Section: Discussionsupporting

confidence: 78%

Outcomes of four-point suture fixated and two-point sutureless posterior chamber IOLs combined with pars plana vitrectomy

et al. 2022

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“…9 In contrast, other authors found a trend toward hyperopia following SFIOL. Yang et al 13 performed transscleral fixation of a single-piece acrylic with eyelets at optic-haptic junction and noted mean postoperative spherical equivalent of +0.21 ± 2.10. Similarly, Terveen et al 14 described 4-point fixation outcomes with the AO6O IOL and found a mean spherical equivalent refraction of +0.08D, although the target refraction was not specified.…”

Section: Discussionmentioning

confidence: 99%

Scleral Fixation of Intraocular Lenses with Gore-Tex Suture

Botsford

Williams

Martel

et al. 2019

Ophthalmology Retina

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Objective: To report refractive outcomes of scleral-fixated intraocular lenses (IOLs) with Gore-Tex suture and combined pars plana vitrectomy, and to compare predicted refractive outcomes between five IOL power calculation formulas. Design: Retrospective case series. Subjects: Patients undergoing scleral-fixated of intraocular lenses with Gore-Tex suture at our institution between January 2015 and June 2018. Methods: Comparison of preoperative biometrics with postoperative refraction, calculation of predicted refractive outcome with 5 different IOL formulas. Main Outcome Measures: Prediction error and absolute error to compare postoperative refraction with refraction predicted by lens power calculation formulas.Results: Thirty-one eyes of 31 patients were included. All power calculations assumed "in-thebag" position of the IOL. Akreos AO60 was implanted in 23 and CZ70BD in 8, and all lenses were sutured 3 millimeters behind the limbus. Average postoperative spherical equivalent was −0.79 ± 0.95 diopters (D). Average prediction error (postoperative spherical equivalent refraction minus target refraction) was −0.19 ± 0.72D. Postoperative spherical equivalent was within 1.0D of target in 25/31 (81%) of patients and within 2.0D of target in 31/31 (100%). The repeatedmeasures analysis of variance of absolute error by lens power formula was significant (p=0.012), with Haigis demonstrating greater error. There was no significant difference between Barrett II, SRKT, Holladay 2, or Hoffer Q.

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“…Yang and colleagues followed 60 eyes that underwent scleral fixation of an enVista MX60 IOL with 10-0 polypropylene over a mean of 11.40 + 4.24 months. 10 In this series, there were no reports of suture breakage or erosion, eyelet fracture, or IOL dislocation or decentration.…”

Section: Discussionmentioning

confidence: 71%

Dislocation of a Scleral-Fixated, Hydrophobic, Single-Piece Acrylic Intraocular Lens Secondary to Eyelet Fracture From Gore-Tex Suture

Gupta

Seamone

Pollmann

et al. 2019

Journal of VitreoRetinal Diseases

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Purpose: This article reports a case of the dislocation of a scleral-fixated enVista MX60 (Bausch + Lomb) intraocular lens (IOL) secondary to eyelet fracture at the point of contact with a Gore-Tex (W.L. Gore & Associates) suture. Methods: A case report is discussed. Results: An 81-year-old woman presented with decreased vision secondary to a dislocated Gore-Tex scleral-sutured enVista MX60 IOL in the left eye 14 months after surgery. The patient returned to the operating room for IOL exchange, and intraoperatively it was confirmed that the eyelet of the lens had fractured secondary to tension from the Gore-Tex suture. Conclusions: To the best of the authors’ knowledge, this is the first report of eyelet fracture in an enVista MX60 scleral-sutured IOL secondary to tension from a Gore-Tex suture.

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Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction

Cited by 14 publications

References 42 publications

Outcomes of four-point suture fixated and two-point sutureless posterior chamber IOLs combined with pars plana vitrectomy

Outcomes of four-point suture fixated and two-point sutureless posterior chamber IOLs combined with pars plana vitrectomy

Scleral Fixation of Intraocular Lenses with Gore-Tex Suture

Dislocation of a Scleral-Fixated, Hydrophobic, Single-Piece Acrylic Intraocular Lens Secondary to Eyelet Fracture From Gore-Tex Suture

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