Sage Journals: Discover world-class research

Abstract

Purpose:

The purpose of this article is to examine the clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture at our institution.

Methods:

A retrospective chart review was conducted of patients who underwent scleral fixation of an IOL with Gore-Tex suture with concurrent pars plana vitrectomy. Intraoperative and postoperative complications were assessed.

Results:

Seventy-four eyes of 74 patients were included with a mean follow-up interval of 210 days (range, 33–720 days). The mean best-corrected visual acuity improved from 20/480 (1.38 logarithm of the minimum angle of resolution [logMAR]) preoperatively to 20/78 (0.59 logMAR) postoperatively (P < .001). Indications included dislocated lens implant (42), aphakia without capsular support (18), and subluxation of crystalline lens (14). Bausch and Lomb Akreos AO60 IOL was implanted in 52 eyes, Alcon CZ70BD in 15, and Bausch and Lomb enVista MX60 in 6. Postoperative complications included temporary ocular hypertension in 9 eyes (12%), temporary hypotony in 7 (9%), cystoid macular edema in 3 eyes (4%), corneal decompensation in 2 eyes (3%), IOL dislocation requiring exchange in 1 case (1.4%), vitreous hemorrhage in 2 cases (3%), and retinal detachment in 2 cases (3%). There were no cases of postoperative suture breakage or erosion, endophthalmitis, or hyphema.

Conclusions:

The use of Gore-Tex suture in scleral fixation of posterior chamber IOLs was well tolerated at a mean follow-up interval of 210 days. There were no suture-related complications.

Keywords

complications of anterior segment surgery IOL dislocations/implantations small-gauge vitrectomy surgical techniques and maneuvers

Get full access to this article

View all access options for this article.

References

Wagoner

Cox

Ariyasu

Jacobs

Karp

. Intraocular lens implantation in the absence of capsular support: a report by the American Academy of Ophthalmology. Ophthalmology. 2003;110(4):840–859.

Hannush

. Sutured posterior chamber intraocular lenses: indications and procedure. Curr Opin Ophthalmol. 2000;11(4):233–240.

Gonnermann

Klamann

Maier

. Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg. 2012;38(12):2139–2143.

Khan

Gerstenblith

Dollin

Gupta

Spirn

. Scleral fixation of posterior chamber intraocular lenses using Gore-Tex suture with concurrent 23-gauge pars plana vitrectomy. Retina. 2014;34(7):1477–1480.

Vote

Tranos

Bunce

Charteris

Da Cruz

. Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation. Am J Ophthalmol. 2006;141(2):308–312.

Asadi

Kheirkhah

. Long-term results of scleral fixation of posterior chamber intraocular lenses in children. Ophthalmology. 2008;115(1):67–72.

Drews

. Polypropylene in the human eye. J Am Intraocul Implant Soc. 1983;9(2):137–142.

Parekh

Green

Stark

Akpek

. Subluxation of suture-fixated posterior chamber intraocular lenses a clinicopathologic study. Ophthalmology. 2007;114(2):232–237.

Assia

Nemet

Sachs

. Bilateral spontaneous subluxation of scleral-fixated intraocular lenses. J Cataract Refract Surg. 2002;28(12):2214–2216.

10.

Slade

Hater

Cionni

Crandall

. Ab externo scleral fixation of intraocular lens. J Cataract Refract Surg. 2012;38(8):1316–1321.

11.

David

Omran

Armstrong

Sun

Ivanov

. Long-term results of mitral valve repair for myxomatous disease with and without chordal replacement with expanded polytetrafluoroethylene sutures. J Thorac Cardiovasc Surg. 1998;115(6):1279–1286.

12.

Karesh

JW.

Polytetrafluoroethylene as a graft material in ophthalmic plastic and reconstructive surgery. An experimental and clinical study. Ophthal Plast Reconstr Surg. 1987;3(3):179–185.

13.

Khan

Rahimy

Gupta

Hsu

. Combined 27-gauge pars plana vitrectomy and scleral fixation of an Akreos AO60 intraocular lens using Gore-Tex suture. Retina. 2016;36(8):1602–1604.

14.

Khan

Gupta

Smith

. Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile. Br J Ophthalmol. 2016;100(5):638–643.

15.

Khan

Samara

Gerstenblith

. Combined pars plana vitrectomy and scleral fixation of an intraocular lens using Gore-Tex suture: one-year outcomes. Retina. 2018;38(7):1377–1384.

16.

Roberts

Fishman

Roberts

. Retrospective, longitudinal, and cross sectional study of visual acuity impairment in choroideraemia. Br J Ophthalmol. 2002;86(6):658–662.

17.

Price

Jr Werner

Berlie

Mamalis

. Late dislocation of scleral-sutured posterior chamber intraocular lenses. J Cataract Refract Surg. 2005;31(7):1320–1326.

18.

Chan

Lam

Jhanji

. Comparison of outcomes of primary anterior chamber versus secondary scleral-fixated intraocular lens implantation in complicated cataract surgeries. Am J Ophthalmol. 2015;159(2):221–226.e2.

19.

Soiberman

Pan

Daoud

Murakami

Stark

. Iris suture fixation of subluxated intraocular lenses. Am J Ophthalmol. 2015;159(2):353–359.

20.

Abbey

Hussain

Shah

Faia

Wolfe

Williams

. Sutureless scleral fixation of intraocular lenses: outcomes of two approaches. The 2014 Yasuo Tano Memorial Lecture. Graefes Arch Clin Exp Ophthalmol. 2015;253(1):1–5.

21.

Wilgucki

Wheatley

Feiner

Ferrone

Prenner

. One-year outcomes of eyes treated with a sutureless scleral fixation technique for intraocular lens placement or rescue. Retina. 2015;35(5):1036–1040.

22.

Packer

Fry

Lavery

. Safety and effectiveness of a glistening-free single-piece hydrophobic acrylic intraocular lens (enVista). Clin Ophthalmol. 2013;7:1905–1912.

23.

Kalevar

Dollin

Gupta

. Opacification of scleral-sutured Akreos AO60 intraocular lens after vitrectomy with gas tamponade: case series [published online ahead of print September 27, 2017]. Retin Cases Brief Rep. doi:10.1097/ICB. 0000000000000634.

24.

Werner

Wilbanks

Nieuwendaal

. Localized opacification of hydrophilic acrylic intraocular lenses after procedures using intracameral injection of air or gas. J Cataract Refract Surg. 2015;41(1):199–207.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

Scleral Fixation of Posterior Chamber Intraocular Lenses Using Gore-Tex Suture: Clinical Outcomes From a Single Institution

Abstract

Purpose:

Methods:

Results:

Conclusions:

Keywords

Get full access to this article

References

Supplementary Material