Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

Matthew S Ward,1 Andrew C Hou,2 David A Murphy,2 Mason A Schmutz,3 Kamran M Riaz2 1Riverwoods Eye Center, Provo, UT, USA; 2Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA; 3Excel Eye Center, Saratoga Springs, UT, USACorrespondence: Kamran M RiazDean McGee Eye Institute, Univ...

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Autores principales:	Ward MS, Hou AC, Murphy DA, Schmutz MA, Riaz KM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	aphakia toric suture fixation secondary lens astigmatism Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a054cfd042df45858a0b1186ec8e23ec
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spelling	oai:doaj.org-article:a054cfd042df45858a0b1186ec8e23ec2021-12-02T15:46:38ZScleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support1177-5483https://doaj.org/article/a054cfd042df45858a0b1186ec8e23ec2021-06-01T00:00:00Zhttps://www.dovepress.com/scleral-fixation-of-a-toric-lens-to-treat-corneal-astigmatism-in-eyes--peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Matthew S Ward,1 Andrew C Hou,2 David A Murphy,2 Mason A Schmutz,3 Kamran M Riaz2 1Riverwoods Eye Center, Provo, UT, USA; 2Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA; 3Excel Eye Center, Saratoga Springs, UT, USACorrespondence: Kamran M RiazDean McGee Eye Institute, University of Oklahoma, 608 Stanton L Young Blvd, Suite 313, Oklahoma City, OK, 73104, USATel +1 405-271-1095Fax +1 405-271-3680Email Kamran-Riaz@dmei.orgPurpose: To describe surgical technique and report short-term visual outcomes after suture-fixation of a single-piece eyelet-toric (SET) intraocular lens (IOL) for treatment of concurrent aphakia and astigmatism.Design: Retrospective, noncomparative, and non-consecutive case series.Methods: This was a case series of eleven eyes who underwent successful SET. Eligible eyes had loss of capsular support or aphakia with a minimum of symmetric corneal astigmatism 1.75 diopters (D). Outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), magnitude of residual refractive cylinder, and complications resulting from the SET procedure.Results: Preoperative UDVA and CDVA in logMAR scale were 1.46 and 0.45, respectively. Mean preoperative keratometric and refractive cylinder were 3.67 D and 2.52D, respectively. Postoperative UDVA and CDVA were 0.51 and 0.27, respectively, three months after surgery (POM3). Residual refractive cylinder at POM3 was 0.93 D.Conclusion: SET technique reduced refractive cylinder and improved UDVA and CDVA. SET may be adapted by surgeons using a readily available IOL and familiar scleral-fixation maneuvers.Keywords: aphakia, toric, suture fixation, secondary lens, astigmatismWard MSHou ACMurphy DASchmutz MARiaz KMDove Medical Pressarticleaphakiatoricsuture fixationsecondary lensastigmatismOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 2317-2325 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aphakia toric suture fixation secondary lens astigmatism Ophthalmology RE1-994
spellingShingle	aphakia toric suture fixation secondary lens astigmatism Ophthalmology RE1-994 Ward MS Hou AC Murphy DA Schmutz MA Riaz KM Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support
description	Matthew S Ward,1 Andrew C Hou,2 David A Murphy,2 Mason A Schmutz,3 Kamran M Riaz2 1Riverwoods Eye Center, Provo, UT, USA; 2Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, OK, USA; 3Excel Eye Center, Saratoga Springs, UT, USACorrespondence: Kamran M RiazDean McGee Eye Institute, University of Oklahoma, 608 Stanton L Young Blvd, Suite 313, Oklahoma City, OK, 73104, USATel +1 405-271-1095Fax +1 405-271-3680Email Kamran-Riaz@dmei.orgPurpose: To describe surgical technique and report short-term visual outcomes after suture-fixation of a single-piece eyelet-toric (SET) intraocular lens (IOL) for treatment of concurrent aphakia and astigmatism.Design: Retrospective, noncomparative, and non-consecutive case series.Methods: This was a case series of eleven eyes who underwent successful SET. Eligible eyes had loss of capsular support or aphakia with a minimum of symmetric corneal astigmatism 1.75 diopters (D). Outcome measures included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), magnitude of residual refractive cylinder, and complications resulting from the SET procedure.Results: Preoperative UDVA and CDVA in logMAR scale were 1.46 and 0.45, respectively. Mean preoperative keratometric and refractive cylinder were 3.67 D and 2.52D, respectively. Postoperative UDVA and CDVA were 0.51 and 0.27, respectively, three months after surgery (POM3). Residual refractive cylinder at POM3 was 0.93 D.Conclusion: SET technique reduced refractive cylinder and improved UDVA and CDVA. SET may be adapted by surgeons using a readily available IOL and familiar scleral-fixation maneuvers.Keywords: aphakia, toric, suture fixation, secondary lens, astigmatism
format	article
author	Ward MS Hou AC Murphy DA Schmutz MA Riaz KM
author_facet	Ward MS Hou AC Murphy DA Schmutz MA Riaz KM
author_sort	Ward MS
title	Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support
title_short	Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support
title_full	Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support
title_fullStr	Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support
title_full_unstemmed	Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support
title_sort	scleral fixation of a toric lens to treat corneal astigmatism in eyes without capsular support
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/a054cfd042df45858a0b1186ec8e23ec
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Scleral Fixation of a Toric Lens to Treat Corneal Astigmatism in Eyes without Capsular Support

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