Knot-free suture scleral fixation of dislocated intraocular lenses: clinical results of a novel surgical technique.
Journal
Journal of cataract and refractive surgery
ISSN: 1873-4502
Titre abrégé: J Cataract Refract Surg
Pays: United States
ID NLM: 8604171
Informations de publication
Date de publication:
01 Jul 2021
01 Jul 2021
Historique:
received:
15
09
2020
accepted:
04
12
2020
pubmed:
15
12
2020
medline:
28
7
2021
entrez:
14
12
2020
Statut:
ppublish
Résumé
To describe and report surgical outcomes of a novel, knot-free technique to manage dislocated intraocular lenses (IOLs). Beyoglu Eye Education and Research Hospital, Istanbul, Turkey. Retrospective observational clinical study. The files of 47 patients were retrospectively reviewed, and the patients who had a follow-up time of 6 months or more were included in this study. The surgery of every case was watched for the surgical complications and calculation of the surgical time. The postoperative complications and success rate were specifically tabulated. Thirty-five eyes of 35 patients were included in this study (23 men, 12 women; mean age 63.1 ± 19.2 years). The mean follow-up time was 22.5 ± 9.9 months. The mean surgical time was 28.2 ± 6.8 minutes. Corrected distance visual acuity improved significantly after surgery (P = .001). Anatomic success rate was 97.1% after a single surgery. Most common complications included transient intraocular pressure (IOP) elevation (n = 2), persistent IOP elevation (n = 1), mild IOL tilt (n = 1), mild IOL decentration (n = 1), secondary IOL dislocation requiring intervention (n = 1), transient corneal edema (n = 1), and bullous keratopathy (n = 1). Knot-free suture scleral fixation of dislocated IOLs was a minimally invasive approach for the management of dislocated IOLs and required only two 20-gauge corneal incisions without the need for scleral flaps or incisions. This technique had a low complication rate and delivered successful results in most cases.
Identifiants
pubmed: 33315738
pii: 02158034-202107000-00012
doi: 10.1097/j.jcrs.0000000000000547
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
898-901Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
Déclaration de conflit d'intérêts
Disclosures: The authors declare no conflict of interest.
Références
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