Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

Olav Kristianslund, Gunhild F Sandvik, Liv Drolsum Department of Ophthalmology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, NorwayCorrespondence: Olav KristianslundDepartment of Ophthalmology, Oslo University Hospital and Institute of Clinical Medicine, Mai...

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Autores principales:	Kristianslund O, Sandvik GF, Drolsum L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	modified capsular tension ring mctr cionni capsular tension ring suture breakage marfan syndrome ectopia lentis subluxated lens scleral suturing Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/77f2fa7f68c649ffb83cd9e1e5ce2f5e
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spelling	oai:doaj.org-article:77f2fa7f68c649ffb83cd9e1e5ce2f5e2021-12-02T17:43:14ZLong-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture1177-5483https://doaj.org/article/77f2fa7f68c649ffb83cd9e1e5ce2f5e2021-06-01T00:00:00Zhttps://www.dovepress.com/long-term-suture-breakage-after-scleral-fixation-of-a-modified-capsula-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Olav Kristianslund, Gunhild F Sandvik, Liv Drolsum Department of Ophthalmology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, NorwayCorrespondence: Olav KristianslundDepartment of Ophthalmology, Oslo University Hospital and Institute of Clinical Medicine, Mailbox 4956 Nydalen, Oslo, 0424, NorwayEmail olav.kristianslund@gmail.comAim: To investigate the long-term risk of suture breakage after implantation of a modified capsular tension ring (MCTR) fixated to the sclera with polypropylene 10– 0 suture.Methods: Retrospective case series of operations for subluxated phakic lenses in 2007– 2015 with implantation of an MCTR secured with a 10– 0 polypropylene suture as part of an intraocular lens (IOL)-capsular bag complex.Results: We identified 132 eyes (92 patients) operated on with an MCTR. Of these eyes, 26 (20%) had suture breakage requiring re-operation, while another eight eyes (6%) had suture breakage that did not require surgery. The re-operations occurred after a mean 4.8± 3.3 years. Suture breakage occurred in patients with a mean age of 34.0± 23.3, as compared to 43.2± 26.0 years for patients who did not experience this complication (p=0.36). In patients aged 40 years or younger at the time of surgery, 47% experienced suture breakage in one or both eyes, as compared to 19% in the age group 41– 69 years and 13% in the age group 70 years and older (p=0.004). Of the 132 eyes that were operated on, we registered one case (0.8%) of possible suture-related late endophthalmitis.Conclusion: The long-term risk of suture breakage was quite high after scleral fixation of the MCTR in this patient cohort, and it seems as the risk is increased with young age.Keywords: modified capsular tension ring, MCTR, Cionni capsular tension ring, suture breakage, Marfan syndrome, ectopia lentis, subluxated lens, scleral suturingKristianslund OSandvik GFDrolsum LDove Medical Pressarticlemodified capsular tension ringmctrcionni capsular tension ringsuture breakagemarfan syndromeectopia lentissubluxated lensscleral suturingOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 2473-2479 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	modified capsular tension ring mctr cionni capsular tension ring suture breakage marfan syndrome ectopia lentis subluxated lens scleral suturing Ophthalmology RE1-994
spellingShingle	modified capsular tension ring mctr cionni capsular tension ring suture breakage marfan syndrome ectopia lentis subluxated lens scleral suturing Ophthalmology RE1-994 Kristianslund O Sandvik GF Drolsum L Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture
description	Olav Kristianslund, Gunhild F Sandvik, Liv Drolsum Department of Ophthalmology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, NorwayCorrespondence: Olav KristianslundDepartment of Ophthalmology, Oslo University Hospital and Institute of Clinical Medicine, Mailbox 4956 Nydalen, Oslo, 0424, NorwayEmail olav.kristianslund@gmail.comAim: To investigate the long-term risk of suture breakage after implantation of a modified capsular tension ring (MCTR) fixated to the sclera with polypropylene 10– 0 suture.Methods: Retrospective case series of operations for subluxated phakic lenses in 2007– 2015 with implantation of an MCTR secured with a 10– 0 polypropylene suture as part of an intraocular lens (IOL)-capsular bag complex.Results: We identified 132 eyes (92 patients) operated on with an MCTR. Of these eyes, 26 (20%) had suture breakage requiring re-operation, while another eight eyes (6%) had suture breakage that did not require surgery. The re-operations occurred after a mean 4.8± 3.3 years. Suture breakage occurred in patients with a mean age of 34.0± 23.3, as compared to 43.2± 26.0 years for patients who did not experience this complication (p=0.36). In patients aged 40 years or younger at the time of surgery, 47% experienced suture breakage in one or both eyes, as compared to 19% in the age group 41– 69 years and 13% in the age group 70 years and older (p=0.004). Of the 132 eyes that were operated on, we registered one case (0.8%) of possible suture-related late endophthalmitis.Conclusion: The long-term risk of suture breakage was quite high after scleral fixation of the MCTR in this patient cohort, and it seems as the risk is increased with young age.Keywords: modified capsular tension ring, MCTR, Cionni capsular tension ring, suture breakage, Marfan syndrome, ectopia lentis, subluxated lens, scleral suturing
format	article
author	Kristianslund O Sandvik GF Drolsum L
author_facet	Kristianslund O Sandvik GF Drolsum L
author_sort	Kristianslund O
title	Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture
title_short	Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture
title_full	Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture
title_fullStr	Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture
title_full_unstemmed	Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture
title_sort	long-term suture breakage after scleral fixation of a modified capsular tension ring with polypropylene 10-0 suture
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/77f2fa7f68c649ffb83cd9e1e5ce2f5e
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Long-Term Suture Breakage After Scleral Fixation of a Modified Capsular Tension Ring with Polypropylene 10-0 Suture

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