Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation

Avner Hostovsky,1,2 Mark Mandelcorn,1,2 Efrem D Mandelcorn1,2 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; 2Department of Ophthalmology, Toronto Western Hospital, The University Health Network, Toronto, Ontario, CanadaCorrespondence: Avner Hostov...

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Autores principales:	Hostovsky A, Mandelcorn M, Mandelcorn ED
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	four-point flange iol fixation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/10767390171f44b4a72eace19ff3fc1a
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spelling	oai:doaj.org-article:10767390171f44b4a72eace19ff3fc1a2021-12-02T13:01:46ZSecondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation1177-5483https://doaj.org/article/10767390171f44b4a72eace19ff3fc1a2020-10-01T00:00:00Zhttps://www.dovepress.com/secondary-posterior-chamber-intraocular-lens-fixation-using-flanged-pr-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Avner Hostovsky,1,2 Mark Mandelcorn,1,2 Efrem D Mandelcorn1,2 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; 2Department of Ophthalmology, Toronto Western Hospital, The University Health Network, Toronto, Ontario, CanadaCorrespondence: Avner HostovskyDepartment of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, CanadaEmail av_ho@yahoo.comPurpose: To describe and evaluate the clinical outcomes of the Flanged Prolene Suture intraocular lens fixation (PIF) technique and compare it to anterior chamber IOL (ACIOL) implantation.Design: A retrospective comparative review.Methods: A retrospective comparative review of consecutive patients undergoing secondary IOL implantation was performed. A comparison between patients that had ACIOL and PIF technique was conducted. The main outcome measures were changes in best-corrected visual acuity (VA), IOL position and complications.Results: In the study period, fourteen eyes had ACIOL implantation and ten eyes had PIF surgery. VA acuity for both groups combined improved from 1.27 ± 0.65 logMAR preoperatively to 0.84 ± 0.65 logMAR (P< 0.0001). Seventeen patients had VA measurements in the year before the IOL dislocation. In those seventeen patients, VA changed from a baseline of 0.90 ± 0.68 to 0.97 ± 0.61 logMAR in the PIF group (p=0.334) and from 0.54 ± 0.27 to 0.85 ± 0.65 logMAR in the ACIOL group (p=0.145). No intraoperative or early postoperative complications were documented in either group. Two (20%) patients in the PIF group developed CME and one patient developed corneal edema. In the ACIOL group, one patient developed significant CME and two patients developed visual significant corneal edema.Conclusion: The PIF technique seems to offer a simple, fast and safe way to fixate an IOL posteriorly. In our experience, the learning curve of the technique is short with a low complication rate and good visual outcomes.Keywords: four-point, flange, IOL fixationHostovsky AMandelcorn MMandelcorn EDDove Medical Pressarticlefour-pointflangeiol fixationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3481-3486 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	four-point flange iol fixation Ophthalmology RE1-994
spellingShingle	four-point flange iol fixation Ophthalmology RE1-994 Hostovsky A Mandelcorn M Mandelcorn ED Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation
description	Avner Hostovsky,1,2 Mark Mandelcorn,1,2 Efrem D Mandelcorn1,2 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; 2Department of Ophthalmology, Toronto Western Hospital, The University Health Network, Toronto, Ontario, CanadaCorrespondence: Avner HostovskyDepartment of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, CanadaEmail av_ho@yahoo.comPurpose: To describe and evaluate the clinical outcomes of the Flanged Prolene Suture intraocular lens fixation (PIF) technique and compare it to anterior chamber IOL (ACIOL) implantation.Design: A retrospective comparative review.Methods: A retrospective comparative review of consecutive patients undergoing secondary IOL implantation was performed. A comparison between patients that had ACIOL and PIF technique was conducted. The main outcome measures were changes in best-corrected visual acuity (VA), IOL position and complications.Results: In the study period, fourteen eyes had ACIOL implantation and ten eyes had PIF surgery. VA acuity for both groups combined improved from 1.27 ± 0.65 logMAR preoperatively to 0.84 ± 0.65 logMAR (P< 0.0001). Seventeen patients had VA measurements in the year before the IOL dislocation. In those seventeen patients, VA changed from a baseline of 0.90 ± 0.68 to 0.97 ± 0.61 logMAR in the PIF group (p=0.334) and from 0.54 ± 0.27 to 0.85 ± 0.65 logMAR in the ACIOL group (p=0.145). No intraoperative or early postoperative complications were documented in either group. Two (20%) patients in the PIF group developed CME and one patient developed corneal edema. In the ACIOL group, one patient developed significant CME and two patients developed visual significant corneal edema.Conclusion: The PIF technique seems to offer a simple, fast and safe way to fixate an IOL posteriorly. In our experience, the learning curve of the technique is short with a low complication rate and good visual outcomes.Keywords: four-point, flange, IOL fixation
format	article
author	Hostovsky A Mandelcorn M Mandelcorn ED
author_facet	Hostovsky A Mandelcorn M Mandelcorn ED
author_sort	Hostovsky A
title	Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation
title_short	Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation
title_full	Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation
title_fullStr	Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation
title_full_unstemmed	Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation
title_sort	secondary posterior chamber intraocular lens fixation using flanged prolene sutures as an alternative to an anterior chamber intraocular lens implantation
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/10767390171f44b4a72eace19ff3fc1a
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Secondary Posterior Chamber Intraocular Lens Fixation Using Flanged Prolene Sutures as an Alternative to an Anterior Chamber Intraocular Lens Implantation

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