Clinical outcomes of iris fixation and sutureless scleral fixation of dislocated foldable posterior chamber intraocular lenses.
J Fr Ophtalmol
; 47(8): 104237, 2024 Jun 24.
Article
en En
| MEDLINE
| ID: mdl-38917616
ABSTRACT
PURPOSE:
Explore the visual outcome and complications of iris fixation intraocular lenses (IFIOL) and sutureless scleral-fixated intraocular lenses (SSFIOL) in the surgical management of patients without exchanging dislocated posterior chamber intraocular lenses (PCIOLs) in the vitreous.METHODS:
Retrospectively, 14 IFIOL and 15 SSFIOL reimplantations for dislocated PCIOLs were analyzed. Mean follow-up of reIFIOL group and reSSFIOL group 11.3±2.0 (range 9-15) months and 11.8±2.2 (range 9-16) months, respectively. Preoperative and postoperative outcomes, operative indications, and complications were evaluated.RESULTS:
Primary surgical indications were pseudoexfoliation (PXE) (21.4%), post-cataract surgery (PCS) (35.7%), trauma (42.8%) in the reIFIOL group, and PXE (26.6%), PCS (40%) trauma (33.3%) in reSSFIOL group, respectively. At the latest follow-up, there was an improvement in best-corrected visual acuity (BCVA) (0.053±0.051 to 0.53±0.13, P<0.0001) in reIFIOL group and (0.05±0.02 to 0.64±0.16, P<0.0001) in reSSFIOL group. Postoperative complications of reIFIOL group and reSSFIOL group included corneal edema (14.2%; nil), IOP elevation (21.4%; 7.1%), bullous keratopathy (14.2%; nil), anterior uveitis (35.7%; 13.3%), cystoid macular edema (CME) (21.4%; 7.1%), pupil ovalization (21.4%; nil), broken haptic (none; 13.3%), IOL exchange (nil; 13.3%), and vitreous hemorrhage (nil; 14.2%).CONCLUSIONS:
Self-dislocated IOL reimplantation may enable much earlier visual rehabilitation in the reSSFIOL group than in the reIFIOL group. Moreover, the 27G trocar-assisted reSSFIOL technique takes a shorter operation time and relatively lower complication rates. However, further prospective studies with larger series and longer follow-up periods are required.
Dislocation de la lentille intraoculaire; Intraocular lens dislocation; Iris fixated foldable intraocular lens; Lentille intraoculaire pliable fixée à la sclérotique; Lentille intraoculaire pliable fixée à l'iris; Pars plana vitrectomy; Scleral-fixated foldable intraocular lens; Trocar; Trocart; Vitrectomie par la pars plana
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
J Fr Ophtalmol
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Francia