Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture

Nimesh A Patel, Parth Shah, Nicolas A Yannuzzi, Zubair Ansari, Jill S Zaveri, Nidhi Relhan, Basil K Williams Jr, Ajay E Kuriyan, Christopher R Henry, Jayanth Sridhar, Luis Haddock, Jorge A Fortun, Thomas A Albini, Janet L Davis, Harry W Flynn JrDepartment of Ophthalmology, Bascom Palmer Eye Institut...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Patel NA, Shah P, Yannuzzi NA, Ansari Z, Zaveri JS, Relhan N, Williams Jr BK, Kuriyan AE, Henry CR, Sridhar J, Haddock L, Fortun JA, Albini TA, Davis JL, Flynn Jr HW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Gore-tex Secondary Intraocular Lens Scleral fixation Clinical outcomes Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0ccc60051d85414ab26ed38e7f0abd9a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0ccc60051d85414ab26ed38e7f0abd9a
record_format	dspace
spelling	oai:doaj.org-article:0ccc60051d85414ab26ed38e7f0abd9a2021-12-02T04:24:45ZClinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture1177-5483https://doaj.org/article/0ccc60051d85414ab26ed38e7f0abd9a2018-10-01T00:00:00Zhttps://www.dovepress.com/clinical-outcomes-of-4-point-scleral-fixated-1-piece-hydrophobic-acryl-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Nimesh A Patel, Parth Shah, Nicolas A Yannuzzi, Zubair Ansari, Jill S Zaveri, Nidhi Relhan, Basil K Williams Jr, Ajay E Kuriyan, Christopher R Henry, Jayanth Sridhar, Luis Haddock, Jorge A Fortun, Thomas A Albini, Janet L Davis, Harry W Flynn JrDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL 33136, USA Purpose: To report the visual outcomes and complications of scleral fixated intraocular lenses (IOLs) using Gore-Tex suture.Methods: The current study is a retrospective noncomparative case series including patients who underwent scleral fixation of IOL (Akreos AO60) using Gore-Tex suture from August 2015 to March 2017 at a university teaching center. Primary outcome measures were visual acuity and complications at last follow-up.Results: The current study included 49 eyes of 48 patients. Mean follow-up duration postsurgery was 6.9 months (range: 0.9–29.4 months). The indications for secondary IOL surgery were dislocated IOL in 16/49 (33%), subluxed IOL in 9/49 (18%), dislocated or subluxed crystalline lens in 9/49 (18%), traumatic cataract in 8/49 (16%), and complicated cataract surgery in 7/49 (14%). Mean best-corrected logMAR visual acuity improved from 1±0.7 (20/200 Snellen equivalent) preoperatively to 0.5±0.5 (20/63 Snellen equivalent) at last follow-up. There were no intraoperative complications noted. Early postoperative complications included significant persistent corneal edema (longer than 1 week) in 4/49 (8.2%), ocular hypertension (intraocular pressure ≥25 mmHg) in 8/49 (16.3%), hypotony (intraocular pressure ≤5 mmHg) in 6/49 (12.2%), cystoid macular edema 3/21 (6.1%), IOL tilt 2/49 (4.1%), hyphema in 2/49 (4.1%), and vitreous hemorrhage in 5/49 (4.8%). There was one case of recurrent retinal detachment. One patient presented with an erosion of the Gore-Tex suture through the conjunctiva resulting in a purulent scleritis 6 months after the initial surgery, and was managed with removal of the IOL, debridement, and cryotherapy. Forty-one of 49 patients completed 3-month follow-up, among which visual acuity improved, deteriorated, or remained same compared to baseline in 27/49 (55.1%), 8/49 (16.3%), and 6/49 (12.2%) eyes, respectively.Conclusion: In the current study, visual acuity outcomes were generally favorable. The complications were largely transient. Significant complications included a suture-related infection, which required removal of the IOL, and a recurrence of a retinal detachment. Keywords: Gore-Tex, secondary intraocular lens, scleral fixation, clinical outcomesPatel NAShah PYannuzzi NAAnsari ZZaveri JSRelhan NWilliams Jr BKKuriyan AEHenry CRSridhar JHaddock LFortun JAAlbini TADavis JLFlynn Jr HWDove Medical PressarticleGore-texSecondary Intraocular LensScleral fixationClinical outcomesOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2145-2148 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gore-tex Secondary Intraocular Lens Scleral fixation Clinical outcomes Ophthalmology RE1-994
spellingShingle	Gore-tex Secondary Intraocular Lens Scleral fixation Clinical outcomes Ophthalmology RE1-994 Patel NA Shah P Yannuzzi NA Ansari Z Zaveri JS Relhan N Williams Jr BK Kuriyan AE Henry CR Sridhar J Haddock L Fortun JA Albini TA Davis JL Flynn Jr HW Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
description	Nimesh A Patel, Parth Shah, Nicolas A Yannuzzi, Zubair Ansari, Jill S Zaveri, Nidhi Relhan, Basil K Williams Jr, Ajay E Kuriyan, Christopher R Henry, Jayanth Sridhar, Luis Haddock, Jorge A Fortun, Thomas A Albini, Janet L Davis, Harry W Flynn JrDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL 33136, USA Purpose: To report the visual outcomes and complications of scleral fixated intraocular lenses (IOLs) using Gore-Tex suture.Methods: The current study is a retrospective noncomparative case series including patients who underwent scleral fixation of IOL (Akreos AO60) using Gore-Tex suture from August 2015 to March 2017 at a university teaching center. Primary outcome measures were visual acuity and complications at last follow-up.Results: The current study included 49 eyes of 48 patients. Mean follow-up duration postsurgery was 6.9 months (range: 0.9–29.4 months). The indications for secondary IOL surgery were dislocated IOL in 16/49 (33%), subluxed IOL in 9/49 (18%), dislocated or subluxed crystalline lens in 9/49 (18%), traumatic cataract in 8/49 (16%), and complicated cataract surgery in 7/49 (14%). Mean best-corrected logMAR visual acuity improved from 1±0.7 (20/200 Snellen equivalent) preoperatively to 0.5±0.5 (20/63 Snellen equivalent) at last follow-up. There were no intraoperative complications noted. Early postoperative complications included significant persistent corneal edema (longer than 1 week) in 4/49 (8.2%), ocular hypertension (intraocular pressure ≥25 mmHg) in 8/49 (16.3%), hypotony (intraocular pressure ≤5 mmHg) in 6/49 (12.2%), cystoid macular edema 3/21 (6.1%), IOL tilt 2/49 (4.1%), hyphema in 2/49 (4.1%), and vitreous hemorrhage in 5/49 (4.8%). There was one case of recurrent retinal detachment. One patient presented with an erosion of the Gore-Tex suture through the conjunctiva resulting in a purulent scleritis 6 months after the initial surgery, and was managed with removal of the IOL, debridement, and cryotherapy. Forty-one of 49 patients completed 3-month follow-up, among which visual acuity improved, deteriorated, or remained same compared to baseline in 27/49 (55.1%), 8/49 (16.3%), and 6/49 (12.2%) eyes, respectively.Conclusion: In the current study, visual acuity outcomes were generally favorable. The complications were largely transient. Significant complications included a suture-related infection, which required removal of the IOL, and a recurrence of a retinal detachment. Keywords: Gore-Tex, secondary intraocular lens, scleral fixation, clinical outcomes
format	article
author	Patel NA Shah P Yannuzzi NA Ansari Z Zaveri JS Relhan N Williams Jr BK Kuriyan AE Henry CR Sridhar J Haddock L Fortun JA Albini TA Davis JL Flynn Jr HW
author_facet	Patel NA Shah P Yannuzzi NA Ansari Z Zaveri JS Relhan N Williams Jr BK Kuriyan AE Henry CR Sridhar J Haddock L Fortun JA Albini TA Davis JL Flynn Jr HW
author_sort	Patel NA
title	Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
title_short	Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
title_full	Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
title_fullStr	Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
title_full_unstemmed	Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
title_sort	clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/0ccc60051d85414ab26ed38e7f0abd9a
work_keys_str_mv	AT patelna clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT shahp clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT yannuzzina clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT ansariz clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT zaverijs clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT relhann clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT williamsjrbk clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT kuriyanae clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT henrycr clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT sridharj clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT haddockl clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT fortunja clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT albinita clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT davisjl clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture AT flynnjrhw clinicaloutcomesof4pointscleralfixated1piecehydrophobicacrylicequiconvexintraocularlensusingpolytetrafluoroethylenesuture
_version_	1718401230814838784

Clinical outcomes of 4-point scleral fixated 1-piece hydrophobic acrylic equiconvex intraocular lens using polytetrafluoroethylene suture

Ejemplares similares