Small-incision iris fixation of foldable intraocular lenses in the absence of capsule support.
Ophthalmology
; 114(7): 1311-8, 2007 Jul.
Article
em En
| MEDLINE
| ID: mdl-17613327
ABSTRACT
PURPOSE:
To report visual outcomes and complications of modified McCannel iris suture fixation of small-incision foldable acrylic intraocular lenses (IOLs) for aphakia in the absence of capsule support.DESIGN:
Retrospective interventional case series.PARTICIPANTS:
Forty-six patients who underwent foldable acrylic IOL implantation using peripheral iris suture fixation for aphakia in the absence of capsule support.METHODS:
Data from 46 patients who underwent iris fixation of a foldable acrylic IOL were retrospectively evaluated for underlying diagnoses, surgical history, clinical results, and complications. MAIN OUTCOMEMEASURES:
Postoperative best-corrected visual acuity (BCVA), spherical equivalent, and surgical complications.RESULTS:
Best-corrected visual acuity improved from 20/100 to 20/50 (P = 0.01), with 97% of eyes maintaining or improving BCVA after a mean (+/- standard deviation) follow-up of 24.1+/-12.4 months. Complications included transient low-grade uveitis (3 [6.5%]), transient pigment dispersion (3 [6.5%]), IOL dislocation (2 [4.3%]), elevated intraocular pressure (1 [2.2%]), and retinal detachment (1 [2.2%]). No new cases of cystoid macular edema or worsening of glaucoma occurred.CONCLUSION:
Small-incision peripheral iris fixation of 3-piece acrylic foldable IOLs in the absence of capsule support appears to be an effective technique with few severe adverse events.
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Base de dados:
MEDLINE
Assunto principal:
Afacia
/
Iris
/
Técnicas de Sutura
/
Implante de Lente Intraocular
/
Lentes Intraoculares
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article