1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts

Valencia Hui Xian Foo,1 Tiffany Sin Hui Bong,1 Andrew Tsai,1,2 Laurence Shen Lim,1,2 Shamira Asith Perera1,2 1Department of Ophthalmology, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore; 2Eye-Academic Clinical Program, Duke-NUS Medical School, National University of Singa...

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Autores principales:	Foo VHX, Bong TSH, Tsai A, Lim LS, Perera SA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	subluxated cataracts subluxated intraocular lenses secondary intraocular lens fixation iris-fixation trans pars plana vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c961f5209f6c454faa4bdc0f547493f0
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spelling	oai:doaj.org-article:c961f5209f6c454faa4bdc0f547493f02021-12-02T18:07:11Z1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts1177-5483https://doaj.org/article/c961f5209f6c454faa4bdc0f547493f02021-10-01T00:00:00Zhttps://www.dovepress.com/1-year-surgical-outcomes-and-safety-of-combined-trans-pars-plana-vitre-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Valencia Hui Xian Foo,1 Tiffany Sin Hui Bong,1 Andrew Tsai,1,2 Laurence Shen Lim,1,2 Shamira Asith Perera1,2 1Department of Ophthalmology, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore; 2Eye-Academic Clinical Program, Duke-NUS Medical School, National University of Singapore, SingaporeCorrespondence: Shamira Asith PereraSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, SingaporeTel +65 6227 7255Fax +65 62263 995Email shamira.perera@singhealth.com.sgImportance/Background: To describe the characteristics and 1-year postoperative surgical outcomes of primary combined trans pars plana vitrectomy (TPPV) with iris-fixated posterior-chamber intraocular lens (IF-PCIOL) implantation for subluxated cataracts and intraocular lenses (IOLs).Methods: Consecutive cases of significantly subluxated cataracts and IOLs from January 2014 to May 2019 were included in this retrospective case series.Results: A total of 103 eyes of 103 patients were included. Median age was 67.4 (interquartile range [IQR] 27– 89) years. Thirty-two (31.1%) had subluxated cataracts, while 71 (68.9%) had subluxated IOLs. Overall median preoperative logMAR BCVA was 0.9 (IQR 0– 2.5). Median logMAR BCVA improved to 0.3 (0– 1.9) and 0.2 (0– 1.8) for the subluxated cataract and IOL groups, 81.2% and 75% of eyes achieved logMAR ≤ 0.3, and 94% and 97% achieved IOL stability at month 12, respectively. Eyes with subluxated IOLs had a significantly less myopic median SE if a new IOL was implanted compared to iris-fixating the dislocated IOL.Conclusion: Combined primary TPPV and IF-PCIOL implantation is a good surgical option for subluxated IOL or cataract without sufficient capsular support, with at least 75% achieving logMAR BCVA ≤ 0.3 and 95% IOL stability at postoperative year 1. In eyes with subluxated IOLs, explanting that IOL and iris-fixating a new IOL led to a reduced SE and better visual outcome at postoperative month 12 when compared to iris-fixating the dislocated IOL.Keywords: subluxated cataracts, subluxated intraocular lenses, secondary intraocular lens fixation, iris-fixation, trans pars plana vitrectomyFoo VHXBong TSHTsai ALim LSPerera SADove Medical Pressarticlesubluxated cataractssubluxated intraocular lensessecondary intraocular lens fixationiris-fixationtrans pars plana vitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 4049-4057 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	subluxated cataracts subluxated intraocular lenses secondary intraocular lens fixation iris-fixation trans pars plana vitrectomy Ophthalmology RE1-994
spellingShingle	subluxated cataracts subluxated intraocular lenses secondary intraocular lens fixation iris-fixation trans pars plana vitrectomy Ophthalmology RE1-994 Foo VHX Bong TSH Tsai A Lim LS Perera SA 1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts
description	Valencia Hui Xian Foo,1 Tiffany Sin Hui Bong,1 Andrew Tsai,1,2 Laurence Shen Lim,1,2 Shamira Asith Perera1,2 1Department of Ophthalmology, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore; 2Eye-Academic Clinical Program, Duke-NUS Medical School, National University of Singapore, SingaporeCorrespondence: Shamira Asith PereraSingapore National Eye Centre, 11 Third Hospital Avenue, 168751, SingaporeTel +65 6227 7255Fax +65 62263 995Email shamira.perera@singhealth.com.sgImportance/Background: To describe the characteristics and 1-year postoperative surgical outcomes of primary combined trans pars plana vitrectomy (TPPV) with iris-fixated posterior-chamber intraocular lens (IF-PCIOL) implantation for subluxated cataracts and intraocular lenses (IOLs).Methods: Consecutive cases of significantly subluxated cataracts and IOLs from January 2014 to May 2019 were included in this retrospective case series.Results: A total of 103 eyes of 103 patients were included. Median age was 67.4 (interquartile range [IQR] 27– 89) years. Thirty-two (31.1%) had subluxated cataracts, while 71 (68.9%) had subluxated IOLs. Overall median preoperative logMAR BCVA was 0.9 (IQR 0– 2.5). Median logMAR BCVA improved to 0.3 (0– 1.9) and 0.2 (0– 1.8) for the subluxated cataract and IOL groups, 81.2% and 75% of eyes achieved logMAR ≤ 0.3, and 94% and 97% achieved IOL stability at month 12, respectively. Eyes with subluxated IOLs had a significantly less myopic median SE if a new IOL was implanted compared to iris-fixating the dislocated IOL.Conclusion: Combined primary TPPV and IF-PCIOL implantation is a good surgical option for subluxated IOL or cataract without sufficient capsular support, with at least 75% achieving logMAR BCVA ≤ 0.3 and 95% IOL stability at postoperative year 1. In eyes with subluxated IOLs, explanting that IOL and iris-fixating a new IOL led to a reduced SE and better visual outcome at postoperative month 12 when compared to iris-fixating the dislocated IOL.Keywords: subluxated cataracts, subluxated intraocular lenses, secondary intraocular lens fixation, iris-fixation, trans pars plana vitrectomy
format	article
author	Foo VHX Bong TSH Tsai A Lim LS Perera SA
author_facet	Foo VHX Bong TSH Tsai A Lim LS Perera SA
author_sort	Foo VHX
title	1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts
title_short	1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts
title_full	1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts
title_fullStr	1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts
title_full_unstemmed	1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts
title_sort	1 year surgical outcomes and safety of combined trans pars plana vitrectomy with iris fixated posterior chamber intraocular lens for subluxated intraocular lens and cataracts
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/c961f5209f6c454faa4bdc0f547493f0
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1 Year Surgical Outcomes and Safety of Combined Trans Pars Plana Vitrectomy with Iris Fixated Posterior Chamber Intraocular Lens for Subluxated Intraocular Lens and Cataracts

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