The implantation of the scleral-fixated posterior chamber intraocular lens with 9/0 polypropylene sutures – Long-term visual outcomes and complications

Purpose: We report the longest follow-up to our knowledge of stable scleral fixation of a posterior chamber intraocular lens (PC IOL) with 10-0 polypropylene sutures. Methods: A retrospective review is presented of a case with more than 30 years’ follow-up after performing sutured scleral fixation with 10-0 polypropylene suture using 2 sutures tied together under a scleral flap. One suture was a cow-hitch looped around the haptic, and the other suture was passed through the sclera to create the scleral fixation. Results: The scleral fixation with 10-0 polypropylene suture knots for both haptics of the PC IOL allowed central optic positioning with excellent vision for more than 30 years without suture breakage. Conclusions: Polypropylene sutures for scleral fixation of PC IOLs remained stable for more than 30 years with central positioning of the PC IOL, without exposure of the fixation suture knots through the conjunctiva, and without suture breakage.

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Long-Term Outcome of Combined Pars Plana Vitrectomy and Scleral Fixated Sutured Posterior Chamber Intraocular Lens Implantation

American Journal of Ophthalmology ◽

10.1016/j.ajo.2005.09.012 ◽

2006 ◽

Vol 141 (2) ◽

pp. 308-312.e1 ◽

Cited By ~ 136

Author(s):

Brendan J. Vote ◽

Paris Tranos ◽

Catey Bunce ◽

David G. Charteris ◽

Lyndon Da Cruz

Keyword(s):

Intraocular Lens ◽

Pars Plana Vitrectomy ◽

Posterior Chamber ◽

Intraocular Lens Implantation ◽

Term Outcome ◽

Long Term Outcome ◽

Posterior Chamber Intraocular Lens ◽

Lens Implantation ◽

Pars Plana

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Evaluation of Sutureless, Glueless, Flapless, Intrascleral Fixated Posterior Chamber Intraocular Lens in Children with Ectopia Lentis

Journal of Ophthalmology ◽

10.1155/2018/3212740 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Kannan NB ◽

Piyush Kohli ◽

Bhanu Pratap Singh Pangtey ◽

Kim Ramasamy

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Pediatric Population ◽

Intraoperative Complications ◽

Vitreous Hemorrhage ◽

Posterior Chamber ◽

Ectopia Lentis ◽

Uncorrected Visual Acuity ◽

Posterior Chamber Intraocular Lens

Aim. This paper aims at evaluating refractive outcome and complication profile of sutureless, glueless, flapless, intrascleral fixation of intraocular lens (SFIOL) in pediatric population. Methods. This retrospective study included patients ≤18 years of age who underwent SFIOL for ectopia lentis. Details obtained included preoperative uncorrected visual acuity (UCVA), cycloplegic refraction, and best-corrected visual acuity (BCVA); intraoperative complications; and postoperative UCVA, cycloplegic refraction, and BCVA and complications. Results. Median pre- and postoperative UCVA was logMAR 1.78 (Snellen 20/1200) and logMAR 0.30 (Snellen 20/40), respectively, (p<0.001). Median pre- and postoperative BCVA was logMAR 0.24 (Snellen 20/34) and logMAR 0.18 (Snellen 20/30), respectively. UCVA ≥20/60 was attained in 90% of eyes. BCVA ≥20/30 was attained in 85.0% of eyes. Most common early postoperative complications were hyphaema (10%), transient vitreous hemorrhage (2.5%), and ocular hypotony (2.5%). None of these developed any long-term sequelae. Only one case of subluxation of IOL was seen. No case of late endophthalmitis or retinal detachment was seen. Conclusion. Since refractive error induced is minimal, the procedure is suitable for IOL implantation in children, who are noncompliant with spectacles. The complication profile is similar to that reported in adults.

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Long-term observation of the refraction with a reversed-optic posterior chamber intraocular lens

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2003.09.054 ◽

2004 ◽

Vol 30 (5) ◽

pp. 1133-1135 ◽

Cited By ~ 1

Author(s):

Yoshiaki Nawa ◽

Hideyuki Tsuji ◽

Tetsuo Ueda ◽

Masahiro Okamoto ◽

Masashi Kojima ◽

...

Keyword(s):

Intraocular Lens ◽

Posterior Chamber ◽

Posterior Chamber Intraocular Lens ◽

Long Term Observation

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Novel Technique to Overcome the Nonavailability of a Long Needle 9-0 Polypropylene Suture for Sutured Scleral Fixation of the Posterior Chamber Intraocular Lens Using a Single Fisherman’s Knot

Journal of Ophthalmology ◽

10.1155/2017/2683415 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4

Author(s):

Yong Un Shin ◽

Mincheol Seong ◽

Hee Yoon Cho ◽

Min Ho Kang

Keyword(s):

Intraocular Lens ◽

Posterior Chamber ◽

Intraoperative Complication ◽

Scleral Fixation ◽

Polypropylene Suture ◽

Endothelial Cell Count ◽

Intraocular Hemorrhage ◽

Posterior Chamber Intraocular Lens ◽

Iol Dislocation

Purpose. To describe a method to overcome the nonavailability of a long needle 9-0 polypropylene suture for sutured scleral fixation of the posterior chamber intraocular lens (PC-IOL) using a single fisherman’s knot (SFK). Methods. First, a 10-0 polypropylene suture was passed from the sclera to the ciliary sulcus using a long needle. A 9-0 suture was tied to the unpassed portion of the 10-0 suture with an SFK. We pulled the 10-0 suture to pass the SFK through the sclera, and then we cut the knot and removed the 10-0 suture. IOL fixation with 9-0 sutures used the conventional techniques used for sutured scleral-fixated IOL. Preoperative and postoperative visual acuity, corneal astigmatism, and endothelial cell count and intraoperative/postoperative complications were evaluated. Results. An SFK joining the two sutures was passed through the sclera without breakage or slippage. A total of 35 eyes from 35 patients who underwent sutured scleral fixation of the IOL. An intraoperative complication (minor intraocular hemorrhage) was recorded in four cases. Knot exposure, IOL dislocation, subluxation, and retinal detachment were not observed. Conclusions. The SFK offers the opportunity to use 9-0 sutures for the long-term safety and may not require the surgeon to learn any new technique.

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