Scleral fixated intraocular lens by a modified technique: Methods and results.
J Fr Ophtalmol
; 43(4): 312-318, 2020 Apr.
Article
em En
| MEDLINE
| ID: mdl-32115270
ABSTRACT
PURPOSE:
A certain number of conditions can result in compromised anterior and/or posterior capsular integrity. Several surgical options have been employed for repositioning dislocated intraocular lenses in the absence of adequate capsular support. The purpose of this study is to assess the functional outcomes and complication profile of a modified surgical technique for replacing dislocated intraocular lenses. MATERIAL ANDMETHODS:
All patients who had undergone the modified surgical procedure for dislocated intraocular lenses between 2012 and 2017 were retrospectively reviewed for visual outcomes and complications. Patient demographic characteristics, pre- and postoperative visual acuity, surgical indications, refractive outcomes, intraocular pressure and postoperative complications were recorded and analysed at baseline and at six months, which was the conclusion of the study. We also present our modified surgical technique.RESULTS:
Sixty-eight eyes of sixty-eight patients (74% male) were included. Mean age at surgery was 58 years (range 4-89 years). Mean best-corrected visual acuity increased significantly from 0.80 (SD±0.2) LogMar to 0.40 (SD±0.1) LogMar (P<0.005). Median astigmatic error at the conclusion of follow-up remained stable. There were no intraoperative complications and a low postoperative complication rate (10.2%), mainly related to the surgical context.CONCLUSION:
Sutureless intrascleral fixation of dislocated intraocular lenses is an option in case of deficient capsular support. Visual outcomes and complication rates are comparable to other case series.Palavras-chave
Anterior chamber IOL; Aphakia; Aphakie; Astigmatism; Astigmatisme; Capsular rupture; Fixation sclérale; IOL; IOL luxation; Implant clippé à l'iris; Implant de chambre antérieure; Implant fixé à la sclère; Iris claw; Lens luxation; Luxation d'implant; Rupture capsulaire; Scleral fixated IOL; Scleral fixation
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esclera
/
Técnicas de Sutura
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Implante de Lente Intraocular
/
Lentes Intraoculares
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
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Child
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Child, preschool
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Fr Ophtalmol
Ano de publicação:
2020
Tipo de documento:
Article