Explantation of Cloudy Oculentis Intraocular Lens With Primary Pars Plana Vitrectomy and Deflooring of the Capsular Bag.
Journal
Retina (Philadelphia, Pa.)
ISSN: 1539-2864
Titre abrégé: Retina
Pays: United States
ID NLM: 8309919
Informations de publication
Date de publication:
01 05 2023
01 05 2023
Historique:
medline:
27
4
2023
pubmed:
23
6
2020
entrez:
23
6
2020
Statut:
ppublish
Résumé
To report a novel technique for explantation of cloudy Oculentis intraocular lens (IOL). A retrospective review of patient's electronic records was performed. The technique includes pars plana vitrectomy, deflooring (large posterior capsulectomy) of the capsular bag, IOL explantation with preserving the anterior capsule, and a secondary IOL placement. Twenty eyes of 19 symptomatic patients were studied. Preoperative Snellen visual acuity ranged from 6/60 to 6/6; 15 eyes (75%) had visual acuity of 6/12 or better. Postoperative visual acuity ranged from 6/60 to 6/6; 18 eyes (90%) had visual acuity of 6/12 or better, and 2 eyes (10%) had visual acuity worse than 6/12. Among these eyes, 13 eyes (65%) had sulcus-fixated IOL, 5 eyes (25%) had sutureless scleral-fixated IOL, and 2 eyes (10%) had retropupillary iris clip IOL. Perioperative surgical complications included localized choroidal detachment in one eye and retinal detachment in another eye. In addition, most patients reported significant improvement in their postoperative vision satisfaction. Our new technique for explantation of cloudy Oculentis IOL provides a standard surgery allowing a safe predictable and repeatable removal of these lenses comparing with the anterior segment approach. This technique could also be used for removal of other IOLs.
Sections du résumé
BACKGROUND
To report a novel technique for explantation of cloudy Oculentis intraocular lens (IOL).
METHODS
A retrospective review of patient's electronic records was performed. The technique includes pars plana vitrectomy, deflooring (large posterior capsulectomy) of the capsular bag, IOL explantation with preserving the anterior capsule, and a secondary IOL placement.
RESULTS
Twenty eyes of 19 symptomatic patients were studied. Preoperative Snellen visual acuity ranged from 6/60 to 6/6; 15 eyes (75%) had visual acuity of 6/12 or better. Postoperative visual acuity ranged from 6/60 to 6/6; 18 eyes (90%) had visual acuity of 6/12 or better, and 2 eyes (10%) had visual acuity worse than 6/12. Among these eyes, 13 eyes (65%) had sulcus-fixated IOL, 5 eyes (25%) had sutureless scleral-fixated IOL, and 2 eyes (10%) had retropupillary iris clip IOL. Perioperative surgical complications included localized choroidal detachment in one eye and retinal detachment in another eye. In addition, most patients reported significant improvement in their postoperative vision satisfaction.
CONCLUSION
Our new technique for explantation of cloudy Oculentis IOL provides a standard surgery allowing a safe predictable and repeatable removal of these lenses comparing with the anterior segment approach. This technique could also be used for removal of other IOLs.
Identifiants
pubmed: 32568981
pii: 00006982-202305000-00019
doi: 10.1097/IAE.0000000000002867
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
855-859Références
Available at: www.gov.uk/drug-device-alerts/filed-safety-notice-30-october-to-3-november-2017 . Oculentis BV: LENTIS 27 October 2017 MHRA reference: 2017/009/013/291/009.
Cavallini GM, Volante V, Campi L, et al. Postperative diffuse opacification of a hydrophilic acrylic intraocular lens: analysis of an explant. Int Ophthalmol 2018;38:1733–1739.
Neuhann IM, Werner L, Izak MA, et al. Late postoperative opacification of a hydrophilic acrylic (Hydrogel) intraocular lens: a clinicopathological analysis of 106 explants. Ophthalmology 2004;111:2094–2101.
Yamane S, Sato S, Maruyama-Inoue M, et al. Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 2017;124:1136–1142.