Scleral fixation of subluxated or dislocated multifocal and multifocal toric intraocular lenses.
Dislocation
Intraocular lens
Multifocal
Subluxation
Transscleral fixation
Journal
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
ISSN: 1435-702X
Titre abrégé: Graefes Arch Clin Exp Ophthalmol
Pays: Germany
ID NLM: 8205248
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
16
08
2021
accepted:
10
11
2021
revised:
29
10
2021
pubmed:
25
11
2021
medline:
15
3
2022
entrez:
24
11
2021
Statut:
ppublish
Résumé
To evaluate the feasibility of scleral fixation of subluxated or dislocated multifocal/multifocal toric intraocular lenses (IOLs) to rescue the IOL and restore both near and far vision. A total of 18 eyes of 17 patients who underwent transscleral or intrascleral fixation of subluxated or dislocated multifocal or multifocal toric IOLs at 2.5 mm posterior to the limbus were enrolled. Preoperative uncorrected distance visual acuity (UDVA) and postoperative UDVA values were compared in this retrospective cross-sectional study. The postoperative corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA) at 40 cm, residual sphere, cylinder, spherical equivalent, and IOL centration were evaluated. The mean follow-up period was 4.0 ± 5.0 months. The mean preoperative UDVA was 0.73 ± 0.71 logMAR and the postoperative UDVA was 0.05 ± 0.10 logMAR, which was significantly improved relative to the preoperative UDVA. The mean postoperative CDVA was 0.00 ± 0.00 logMAR and the mean postoperative UNVA at 40 cm was 0.05 ± 0.07 logMAR. The mean postoperative residual sphere, cylinder, and spherical equivalent values were - 0.21 ± 0.41 D, - 0.29 ± 0.26 CD, and - 0.33 ± 0.39 D, respectively. Postoperative anterior segment photographs showed good centration of optics in all cases of single-piece foldable multifocal IOLs but a slight inferior decentration in one case of a three-piece multifocal IOL. Scleral fixation of subluxated or dislocated multifocal and multifocal toric IOLs could be one of the treatment options to rescue subluxated or dislocated multifocal IOLs and restore both near and far vision.
Identifiants
pubmed: 34817677
doi: 10.1007/s00417-021-05498-1
pii: 10.1007/s00417-021-05498-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1195-1203Subventions
Organisme : TRC Research Grant of the Korea University Medicine and Korea Institute of Science and Technology
ID : 2018
Organisme : Korea University Ansan Hospital grant
ID : K1625491
Organisme : Korea University Ansan Hospital grant
ID : K1722121
Organisme : Korea University Ansan Hospital grant
ID : K1811051
Organisme : Korea University Ansan Hospital grant
ID : K1913161
Organisme : Korea University Ansan Hospital grant
ID : K2010921
Organisme : Korea University grant
ID : K1625491
Organisme : Korea University grant
ID : K1722121
Organisme : Korea University grant
ID : K1811051
Organisme : Korea University grant
ID : K1913161
Organisme : Korea University grant
ID : K2010921
Organisme : Korea Medical Device Development Fund grant funded by the Korea government (the Ministry of Science and ICT, the Ministry of Trade, Industry and Energy, the Ministry of Health & Welfare, the Ministry of Food and Drug Safety)
ID : Project Number: 9991007583
Organisme : Korea Medical Device Development Fund grant funded by the Korea government (the Ministry of Science and ICT, the Ministry of Trade, Industry and Energy, the Ministry of Health & Welfare, the Ministry of Food and Drug Safety)
ID : KMDF_PR_20200901_0296
Organisme : Korea Environment Industry & Technology Institute(KEITI) through Technology Development Project for Safety Management of Household Chemical Products, funded by Korea Ministry of Environment(MOE)
ID : 2020002960007
Organisme : Korea Environment Industry & Technology Institute(KEITI) through Technology Development Project for Safety Management of Household Chemical Products, funded by Korea Ministry of Environment(MOE)
ID : NTIS-1485017544
Organisme : National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIT)
ID : NRF-2021R1F1A1062017
Organisme : Technology development Program(S3127902) funded by the Ministry of SMEs and Startups(MSS, Korea)
ID : S3127902
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Pueringer SL, Hodge DO, Erie JC (2011) Risk of late intraocular lens dislocation after cataract surgery, 1980–2009: a population-based study. Am J Ophthalmol 152:618–623. https://doi.org/10.1016/j.ajo.2011.03.009
doi: 10.1016/j.ajo.2011.03.009
pubmed: 21683329
pmcid: 3783201
Fan Q, Han X, Luo J, Cai L, Qiu X, Lu Y, Yang J (2021) Risk factors of intraocular lens dislocation following routine cataract surgery: a case-control study. Clin Exp Optom 104:510–517. https://doi.org/10.1080/08164622.2021.1878829
doi: 10.1080/08164622.2021.1878829
pubmed: 33689608
Lorente R, de Rojas V, Vazquez de Parga P, Moreno C, Landaluce ML, Dominguez R, Lorente B (2010) Management of late spontaneous in-the-bag intraocular lens dislocation: Retrospective analysis of 45 cases. J Cataract Refract Surg 36:1270–1282. https://doi.org/10.1016/j.jcrs.2010.01.035
doi: 10.1016/j.jcrs.2010.01.035
pubmed: 20656148
Michaeli A, Soiberman U, Loewenstein A (2012) Outcome of iris fixation of subluxated intraocular lenses. Graefes Arch Clin Exp Ophthalmol 250:1327–1332. https://doi.org/10.1007/s00417-012-2057-x
doi: 10.1007/s00417-012-2057-x
pubmed: 22580990
Kim SS, Smiddy WE, Feuer W, Shi W (2008) Management of dislocated intraocular lenses. Ophthalmology 115:1699–1704. https://doi.org/10.1016/j.ophtha.2008.04.016
doi: 10.1016/j.ophtha.2008.04.016
pubmed: 18554720
Dalby M, Drolsum L, Kristianslund O (2021) Repositioning surgery of different intraocular lens designs in eyes with late in-the-bag intraocular lens dislocation. J Cataract Refract Surg 47:1147–1152. https://doi.org/10.1097/j.jcrs.0000000000000588
doi: 10.1097/j.jcrs.0000000000000588
pubmed: 33754659
Kim JW, Eom Y, Chung HW, Song JS, Jeong JW, Park SK, Kim HM (2020) Factors for good near and distance visual outcomes of multifocal intraocular lens with inferior segmental near add. Graefes Arch Clin Exp Ophthalmol 258:1735–1743. https://doi.org/10.1007/s00417-020-04761-1
doi: 10.1007/s00417-020-04761-1
pubmed: 32472200
Keates RH, Pearce JL, Schneider RT (1987) Clinical results of the multifocal lens. J Cataract Refract Surg 13:557–560. https://doi.org/10.1016/s0886-3350(87)80114-1
doi: 10.1016/s0886-3350(87)80114-1
pubmed: 3312575
Khandelwal SS, Jun JJ, Mak S, Booth MS, Shekelle PG (2019) Effectiveness of multifocal and monofocal intraocular lenses for cataract surgery and lens replacement: a systematic review and meta-analysis. Graefes Arch Clin Exp Ophthalmol 257:863–875. https://doi.org/10.1007/s00417-018-04218-6
doi: 10.1007/s00417-018-04218-6
pubmed: 30627791
Jones JJ, Jones YJ, Jin GJ (2014) Indications and outcomes of intraocular lens exchange during a recent 5-year period. Am J Ophthalmol 157(154–162):e151. https://doi.org/10.1016/j.ajo.2013.08.019
doi: 10.1016/j.ajo.2013.08.019
Rampat R, Gatinel D (2021) Multifocal and Extended Depth-of-Focus Intraocular Lenses in 2020. Ophthalmology 128:e164–e185. https://doi.org/10.1016/j.ophtha.2020.09.026
doi: 10.1016/j.ophtha.2020.09.026
pubmed: 32980397
Fukasaku H, Marron JA (1994) Pinpoint anesthesia: a new approach to local ocular anesthesia. J Cataract Refract Surg 20:468–471. https://doi.org/10.1016/s0886-3350(13)80186-1
doi: 10.1016/s0886-3350(13)80186-1
pubmed: 7932140
Fukasaku H, Marron JA (1994) Sub-Tenon’s pinpoint anesthesia. J Cataract Refract Surg 20:673. https://doi.org/10.1016/s0886-3350(13)80668-2
doi: 10.1016/s0886-3350(13)80668-2
pubmed: 7695755
Sugiura T, Kaji Y, Tanaka Y (2018) Anatomy of the ciliary sulcus and the optimum site of needle passage for intraocular lens suture fixation in the living eye. J Cataract Refract Surg 44:1247–1253. https://doi.org/10.1016/j.jcrs.2018.07.017
doi: 10.1016/j.jcrs.2018.07.017
pubmed: 30172566
Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K (2017) Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique. Ophthalmology 124:1136–1142. https://doi.org/10.1016/j.ophtha.2017.03.036
doi: 10.1016/j.ophtha.2017.03.036
pubmed: 28457613
Erakgun T (2020) Intravitreal needle technique for intrascleral haptic fixation of posteriorly dislocated three-piece intraocular lenses. Retin Cases Brief Rep. https://doi.org/10.1097/ICB.0000000000001102
doi: 10.1097/ICB.0000000000001102
pubmed: 33323895
Baykara M (2004) Suture burial technique in scleral fixation. J Cataract Refract Surg 30:957–959. https://doi.org/10.1016/j.jcrs.2003.09.048
doi: 10.1016/j.jcrs.2003.09.048
pubmed: 15130629
Eom Y, Rhim JW, Kang SY, Kim SW, Song JS, Kim HM (2015) Toric intraocular lens calculations using ratio of anterior to posterior corneal cylinder power. Am J Ophthalmol 160(717–724):e712. https://doi.org/10.1016/j.ajo.2015.07.011
doi: 10.1016/j.ajo.2015.07.011
Jacobi PC, Dietlein TS, Jacobi FK (2002) Scleral fixation of secondary foldable multifocal intraocular lens implants in children and young adults. Ophthalmology 109:2315–2324. https://doi.org/10.1016/s0161-6420(02)01264-2
doi: 10.1016/s0161-6420(02)01264-2
pubmed: 12466177
Ton Y, Naftali M, Lapid-Gortzak R, Assia EI (2016) Management of subluxated capsular bag-fixated intraocular lenses using a capsular anchor. J Cataract Refract Surg 42:653–658. https://doi.org/10.1016/j.jcrs.2016.04.002
doi: 10.1016/j.jcrs.2016.04.002
pubmed: 27255239
Soda M, Yaguchi S (2012) Effect of decentration on the optical performance in multifocal intraocular lenses. Ophthalmologica 227:197–204. https://doi.org/10.1159/000333820
doi: 10.1159/000333820
pubmed: 22222365
Ortiz C, Esteve-Taboada JJ, Belda-Salmeron L, Monsalvez-Romin D, Dominguez-Vicent A (2016) Effect of decentration on the optical quality of two intraocular lenses. Optom Vis Sci 93:1552–1559. https://doi.org/10.1097/OPX.0000000000001004
doi: 10.1097/OPX.0000000000001004
pubmed: 27776082
Liu X, Xie L, Huang Y (2019) Effects of decentration and tilt at different orientations on the optical performance of a rotationally asymmetric multifocal intraocular lens. J Cataract Refract Surg 45:507–514. https://doi.org/10.1016/j.jcrs.2018.10.045
doi: 10.1016/j.jcrs.2018.10.045
pubmed: 30947854
Hayashi K, Hayashi H, Nakao F, Hayashi F (1999) Intraocular lens tilt and decentration, anterior chamber depth, and refractive error after trans-scleral suture fixation surgery. Ophthalmology 106:878–882. https://doi.org/10.1016/S0161-6420(99)00504-7
doi: 10.1016/S0161-6420(99)00504-7
pubmed: 10328384
Whang WJ, Kwon H, Jeon S (2020) Application of a four-flanged intrascleral fixation technique for toric and multifocal intraocular lenses. Am J Ophthalmol Case Rep 20:100933. https://doi.org/10.1016/j.ajoc.2020.100933
doi: 10.1016/j.ajoc.2020.100933
pubmed: 33015409
pmcid: 7522749
Shuaib AM, El Sayed Y, Kamal A, El Sanabary Z, Elhilali H (2019) Transscleral sutureless intraocular lens versus retropupillary iris-claw lens fixation for paediatric aphakia without capsular support: a randomized study. Acta Ophthalmol 97:e850–e859. https://doi.org/10.1111/aos.14090
doi: 10.1111/aos.14090
pubmed: 30884195
Choi EY, Lee CH, Kang HG, Han JY, Byeon SH, Kim SS, Koh HJ, Kim M (2021) Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation. Sci Rep 11:726. https://doi.org/10.1038/s41598-020-80292-3
doi: 10.1038/s41598-020-80292-3
pubmed: 33436860
pmcid: 7804091
Dalby M, Kristianslund O, Drolsum L (2019) Long-term outcomes after surgery for late in-the-bag intraocular lens dislocation: a randomized clinical trial. Am J Ophthalmol 207:184–194. https://doi.org/10.1016/j.ajo.2019.05.030
doi: 10.1016/j.ajo.2019.05.030
pubmed: 31194950
Kristianslund O, Dalby M, Moe MC, Drolsum L (2019) Cost-effectiveness analysis in a randomized trial of late in-the-bag intraocular lens dislocation surgery: repositioning versus exchange. Acta Ophthalmol 97:771–777. https://doi.org/10.1111/aos.14108
doi: 10.1111/aos.14108
pubmed: 30968572
Chang JSM, Ng JCM, Chan VKC (2014) Sulcus fixation of a 3-piece diffractive multifocal intraocular lens with and without optic capture in the anterior capsulorhexis. Ophthalmology 121(429–430):e422. https://doi.org/10.1016/j.ophtha.2013.09.040
doi: 10.1016/j.ophtha.2013.09.040
Chang DF, Masket S, Miller KM, Braga-Mele R, Little BC, Mamalis N, Oetting TA, Packer M, Committee ACC (2009) Complications of sulcus placement of single-piece acrylic intraocular lenses: recommendations for backup IOL implantation following posterior capsule rupture. J Cataract Refract Surg 35:1445–1458. https://doi.org/10.1016/j.jcrs.2009.04.027
doi: 10.1016/j.jcrs.2009.04.027
pubmed: 19631134
Mehta R, Aref AA (2019) Intraocular lens implantation in the ciliary sulcus: challenges and risks. Clin Ophthalmol 13:2317–2323. https://doi.org/10.2147/OPTH.S205148
doi: 10.2147/OPTH.S205148
pubmed: 31819356
pmcid: 6885568
Kelkar AS, Fogla R, Kelkar J, Kothari AA, Mehta H, Amoaku W (2017) Sutureless 27-gauge needle-assisted transconjunctival intrascleral intraocular lens fixation: Initial experience. Indian J Ophthalmol 65:1450–1453. https://doi.org/10.4103/ijo.IJO_659_17
doi: 10.4103/ijo.IJO_659_17
pubmed: 29208833
pmcid: 5742981
Canabrava S, Canedo Domingos Lima AC, Arancibia AEL, Bicalho Dornelas LF, Ribeiro G (2020) Novel double-flanged technique for managing Marfan syndrome and microspherophakia. J Cataract Refract Surg 46:333–339. https://doi.org/10.1097/j.jcrs.0000000000000116
doi: 10.1097/j.jcrs.0000000000000116
pubmed: 32079842
Canabrava S, Bernardino L, Batisteli T, Lopes G, Diniz-Filho A (2018) Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability. Int Ophthalmol 38:2653–2662. https://doi.org/10.1007/s10792-017-0746-5
doi: 10.1007/s10792-017-0746-5
pubmed: 29067533
Assia EI, Wong JXH (2020) Adjustable 6–0 polypropylene flanged technique for scleral fixation, part 1: primary fixation IOLs in aphakia, capsular stabilizing devices, and aniridia implants. J Cataract Refract Surg 46:1387–1391. https://doi.org/10.1097/j.jcrs.0000000000000260
doi: 10.1097/j.jcrs.0000000000000260
pubmed: 32773609
Assia EI, Wong JXH (2020) Adjustable 6–0 polypropylene flanged technique for scleral fixation, part 2: repositioning of subluxated IOLs. J Cataract Refract Surg 46:1392–1396. https://doi.org/10.1097/j.jcrs.0000000000000261
doi: 10.1097/j.jcrs.0000000000000261
pubmed: 33060474
Samir A, ElHag YG, Elsayed AMA, Elsayed TG, Lotfy A (2020) Scleral fixation of single-piece foldable IOL using double-flanged technique. Clin Ophthalmol 14:3131–3136. https://doi.org/10.2147/OPTH.S276226
doi: 10.2147/OPTH.S276226
pubmed: 33116364
pmcid: 7549876
Price MO, Price FW Jr, Werner L, Berlie C, Mamalis N (2005) Late dislocation of scleral-sutured posterior chamber intraocular lenses. J Cataract Refract Surg 31:1320–1326. https://doi.org/10.1016/j.jcrs.2004.12.060
doi: 10.1016/j.jcrs.2004.12.060
pubmed: 16105601
Lee R, Govindaraju V, Farley ND, Abbey AM, Stem MS, Shields RA, Wa CA, Williams GA, Faia LJ, Hassan TS, Wolfe JD (2021) Refractive outcomes after sutureless intrascleral fixation of intraocular lens with pars plana vitrectomy. Retina 41:822–826. https://doi.org/10.1097/IAE.0000000000002916
doi: 10.1097/IAE.0000000000002916
pubmed: 32833409