Sutureless scleral-fixated intraocular lens: long-term outcomes

Background: The purpose of this study was to evaluate the long-term outcomes of sutureless scleral-fixated intraocular lens (SFIOL) implantation at a tertiary referral center. Methods: This retrospective observational study included 50 eyes of 43 consecutive patients who underwent sutureless SFIOL implantation by a single surgeon from January 2009 to December 2015. Indications for surgery were aphakia, dislocated intraocular lens (IOL), complicated cataract surgery (posterior capsule rupture, zonular dialysis, dropped nucleus), iris-clipped IOL with corneal decompensation, and lens with poor capsular support. Indication for surgery, visual acuity, ocular history, ocular comorbidities, intraoperative and postoperative complications, and the need for further surgery were analyzed. Results: The analysis conducted on 50 eyes from 43 patients with a mean ± standard deviation (SD) follow-up of 16.64 ± 9.34 months. Patients were 27 (63%) men and 16 (37%) women with a mean ± standard deviation (SD) age of 53.36 ± 22.45 years (range 8–90 years). Final visual acuity was 6/18 or better in 39 eyes. SFIOL was stable and well centered in 48 eyes. SFIOL dislocation was noted in 2 eyes, retinal detachment in 1 eye, and worsening of diabetic cystoid macular edema in 1 eye. Two patients with pre-existing corneal decompensation from complicated cataract surgery had worsening of their condition Conclusions: Sutureless SFIOL could be considered as a long-term option for the management of aphakia, dislocated IOL, and lens with poor capsular support. However, future studies with more subjects, longer follow-ups, and robust study design are needed to confirm the results of the present study.

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Retro-pupillary iris fixated intraocular lens: A boon to aphakia

Indian Journal of Clinical and Experimental Ophthalmology ◽

10.18231/j.ijceo.2021.082 ◽

2021 ◽

Vol 7 (2) ◽

pp. 415-418

Author(s):

Subramanya K Giliyar ◽

Ravi Bypareddy ◽

Kamakshi N Moger ◽

Vinutha Moger ◽

Deeksha Bekal

Keyword(s):

Visual Acuity ◽

Intraocular Pressure ◽

Intraocular Lens ◽

Simple Procedure ◽

Visual Outcome ◽

Secondary Outcome ◽

Corrected Visual Acuity ◽

Corneal Decompensation ◽

Best Corrected Visual Acuity ◽

Capsular Support

To evaluate post operative visual outcome and complications of retro-pupillary iris fixated Intracoular lens (IOL) in aphakia. This is a prospective interventional case study conducted at our tertiary eye care centre from March 2018 to February 2019 All monocular aphakias secondary to any cause with no capsular support, good iris diaphragm support and BCVA of better than 6/60 were included. Patients who required combined procedures like trabeculectomy and retinal procedure were excluded. Patients with poor endothelial count/ corneal decompensation, any posterior segment pathologies, pre existing glaucoma and any form of uveitis were also excluded from the study. Pre operative visual acuity, slit lamp examination and fundus examination were carried out. Anterior vitrectomy and retropupillary fixation of iris claw lens were done. The primary outcome was to assess the post operative visual acuity and secondary outcome was to analyse post operative complications at various intervals up to 6 months after surgery. Our study comprised of thirty eyes of 30 aphakic patients. RPIFIOL was inserted as primary intraocular lens in 18 patients (%) and secondary intraocular lens in 12 patients(%). Baseline best corrected visual acuity was 0.831±0.66 logMAR. Four patients had light perception at baseline. The mean best corrected visual acuity was 0.77±0.35 logMAR at month 1, 0.64±0.36logmAR at month 3 and 0.53±0.33logmAR at month 6 respectively. Mean intraocular pressure at baseline was 16mmHg. Mean intraocular pressure at month 1, 3 and 6 were 17mmHg, 16mmHg, and 16mmHg. Among the complications, twelve eyes (40%) had significant ovalisation of pupil at post operative month 1 which persisted at month 6, two eyes(6.66%) had transient ocular hypertension (OHT), and none of the eyes progressed to glaucoma. Choroidal detachment was noted in 2 eyes (6.66%), CME in 3 eyes (9.99%), 1 eye (3.33%) had retinal detachment and 2 eyes (6.66%) had one haptic disenclavation. Among the complications, ovalisation of pupil was the most common observed one. Retro-pupillary Iris fixated IOL is an effective, safe and simple procedure for management of aphakia in eyes with no posterior capsular support.

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Biconvex posterior chamber accommodating intraocular lens implantation after cataract surgery: Long-term outcomes

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2009.11.008 ◽

2010 ◽

Vol 36 (4) ◽

pp. 603-608 ◽

Cited By ~ 4

Author(s):

Megumi Saiki ◽

Kazuno Negishi ◽

Murat Dogru ◽

Takefumi Yamaguchi ◽

Kazuo Tsubota

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Posterior Chamber ◽

Intraocular Lens Implantation ◽

Long Term Outcomes ◽

Lens Implantation

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Long-term evaluation of primary anterior chamber intraocular lens implantation in complicated cataract surgery

International Ophthalmology ◽

10.1007/bf00176881 ◽

1997 ◽

Vol 20 (6) ◽

Cited By ~ 4

Author(s):

Mervi Bergman ◽

Leila Laatikainen

Keyword(s):

Cataract Surgery ◽

Anterior Chamber ◽

Intraocular Lens ◽

Intraocular Lens Implantation ◽

Complicated Cataract ◽

Lens Implantation ◽

Term Evaluation

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Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v8i1.16155 ◽

2016 ◽

Vol 8 (1) ◽

pp. 41-46 ◽

Cited By ~ 1

Author(s):

Lalit Agarwal ◽

Nisha Agarwal ◽

Rajya Laxmi Gurung ◽

Rahul Chaubey ◽

Bhaskar Kumar Jha ◽

...

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Case Series ◽

Corneal Edema ◽

Visual Outcome ◽

Distance Visual Acuity ◽

Uncorrected Distance Visual Acuity ◽

Study Results ◽

Capsular Support ◽

Scleral Fixated Intraocular Lens

Introduction: In the absence of capsular support, anterior chamber intraocular lens (IOL), iris fixated IOL and sutured scleral fixated intraocular lens (SFIOL) implantation have been performed for many years. Recently sutureless glued SFIOL have been used as a primary or secondary procedure to correct aphakia. In this study we have used sutureless and glueless technique of SFIOL implantation. Methodology: An interventional case series was conducted. Aphakic patients without capsular support, sub-luxated lens (>180°), dislocated lens and dislocated IOL were the inclusion criteria. The patients with hazy cornea, non-dilating pupil, macular scar and glaucoma were not enrolled in the study. Results: Of 62 eyes who completed 1 month follow- up, 48 were men and 14 women. There was a significant improvement in uncorrected distance visual acuity after surgery (p<0.001). One month postoperative best corrected distance visual acuity was 6/18 or better in 45 eyes (72.6%). The common early postoperative complications were hypotony, corneal edema. No serious complications such as endophthalmitis and retinal detachment were seen. Conclusion: Our technique of sutureless and glueless SFIOL implantation showed good visual outcome in the absence of serious complications. SFIOL will be the only choice in eyes that have anatomic contraindications like non constricting pupil, large sectoral iridectomy and peripheral anterior synechia in which other types of lens are not suitable.Nepal J Ophthalmol 2016; 8(15): 41-46

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Long-term Effect of Intraocular Lens vs Contact Lens Correction on Visual Acuity After Cataract Surgery During Infancy

JAMA Ophthalmology ◽

10.1001/jamaophthalmol.2020.0006 ◽

2020 ◽

Vol 138 (4) ◽

pp. 365 ◽

Cited By ~ 5

Author(s):

Scott R. Lambert ◽

George Cotsonis ◽

Lindreth DuBois ◽

Azhar Nizam, MS ◽

Stacey J. Kruger ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Intraocular Lens ◽

Contact Lens ◽

Term Effect ◽

Long Term Effect

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Comparison of post-op quality of vision of spheric IOL and aspheric hydrophilic acrylic yellow tinted intraocular lens implantation following phacoemulsification cataract surgery

Advances in Ophthalmology & Visual System ◽

10.15406/aovs.2021.11.00404 ◽

2021 ◽

Vol 11 (2) ◽

pp. 28-31

Author(s):

Safdar Hussain ◽

Asma Batool ◽

Saba Akram ◽

Hina Manzoor ◽

Ayesha Arshad

Keyword(s):

Visual Acuity ◽

Standard Deviation ◽

Cataract Surgery ◽

Intraocular Lens ◽

Age Related Macular Degeneration ◽

Ocular Lens ◽

Age Related ◽

Quality Of Vision ◽

Phacoemulsification Cataract Surgery

Purpose: To compare the post-op visual quality of spheric and aspheric acrylic yellow tinted intraocular lens following phacoemulsification cataract surgery. Place of study: Al-Majeed Laser Eye Hospital. Methods: Total 60 subjects (aged 40-65years) with age related mature cataracts were included. Data was assembled by non-probability convenient sampling technique at Al-Majeed Laser Eye Hospital. All patients presenting with mature cataract were include in this study without any other pathology and fundus abnormality. Pre and post-operative visual acuity was measured by using standard snellen visual acuity testing chart. For the purpose of accuracy repetitive values were taken for each patient. Post-operative vision was recorded one month followed by phacoemulsification. Comparisons was made between spheric and asphereic acrylic yellow tinted intraocular lens by applying (descriptive) statistics and paired sample t test for the analysis of results. Results: Quality of vision was compared post-operatively after implantation of aspheric hydrophilic acrylic IOL and spheric IOL in posterior chamber under the same phaco surgeon. All subjects after intra ocular implantation had better corrected visual acuity of 6/9 and more improved 6/6. There were found statistically differences in recorded visual acuity with aspheric yellow tinted iol implanation and spheric iol (p = 0.15) between the two types of intra-ocular lens. The mean, standard deviation, t-value found with spheric IOL were.1867, .18889, 2.517 respectively. However, of aspheric hydrophilic acrylic intra-ocular lens mean, standard deviation and t values found .800, .13493 and 2.5493 respectively. There was significant variance in statistics and quality of vision between the two types of lenses. Conclusions: This study concludes that post –operative improvement in quality of vision was better with aspheric hydrophilic yellow tinted lenses than spheric iol implantation. Implanting a foldable aspheric acrylic IOL gave much advantage in visual outcome to pseudophakes by protecting retina from light of shorter wavelength and decrease of chromatic aberration under the photopic circumstances particularly in subjects at hazard of age-related macular degeneration (AMD).

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