Ab externo scleral suture loop fixation for posterior chamber intraocular lens decentration: clinical results

Journal of Cataract and Refractive Surgery
Clara C ChanIqbal Ike K Ahmed

Abstract

To evaluate the efficacy and safety of an ab externo suture retrieval and scleral fixation technique in the treatment of subluxated posterior chamber intraocular lenses (PC IOLs). Academic tertiary care centers. Surgical databases from 2 surgeons were reviewed for consecutive cases from March 2000 to April 2004 in which the ab externo scleral suture fixation technique was used and a minimum follow-up of 3 months was completed. Patient charts were reviewed for 15 eyes that had decentered in-the-bag PC IOLs, 12 eyes with subluxated sulcus or bag-sulcus positioned PC IOLs, and 3 eyes with PC IOLs dislocated into the vitreous. The mean time from cataract extraction to PC IOL stabilization was 3.4 years (range 2 days to 10.9 years). Surgical repositioning was successfully performed in all patients. After a mean follow-up of 14.7 months, the mean best corrected visual acuity (BCVA) improved from 20/140 to 20/40 (P = .0001). All patients had stable or improved BCVA. All patients with a successfully completed procedure achieved an adequately centered PC IOL postoperatively. One patient (3.3%) developed a significant intraoperative vitreous hemorrhage requiring the procedure to be aborted, but reoperation 3 months later was successful. ...Continue Reading

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Citations

May 15, 2012·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Adi MichaeliAnat Loewenstein
Oct 10, 2009·Current Opinion in Ophthalmology·Graham W BelovayIqbal Ike K Ahmed
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Nov 30, 2013·Journal of Cataract and Refractive Surgery·Howard V Gimbel, Anika Amritanand
Jun 1, 2011·Archivos de la Sociedad Española de Oftalmología·J Colomé CamposI Martínez-Salcedo
Sep 25, 2012·Journal of Cataract and Refractive Surgery·Tyler Q Kirk, Garry P Condon
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Mar 23, 2011·Journal of Cataract and Refractive Surgery·Howard V GimbelGerardo D Camoriano
Jul 27, 2010·Journal of Cataract and Refractive Surgery·Ramón LorenteBetty Lorente
Dec 26, 2015·Journal of Cataract and Refractive Surgery·Michael J Siegel, Garry P Condon
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Feb 6, 2013·Journal of Refractive Surgery·Matthew E EmanuelSamuel Masket
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Jun 28, 2015·American Journal of Ophthalmology·Kyeong Hwan Kim, Wan Soo Kim
May 10, 2015·Journal of Cataract and Refractive Surgery·Parnian ArjmandIqbal Ike K Ahmed
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Sep 27, 2016·Journal of Cataract and Refractive Surgery·Garry Condon
Sep 27, 2016·Journal of Cataract and Refractive Surgery·Alan S Crandall
Dec 24, 2018·Journal of Cataract and Refractive Surgery·Betty Lorente BulnesRamón Lorente Moore
Aug 30, 2008·Journal of Cataract and Refractive Surgery·Nick MamalisLiliana Werner
Jun 9, 2020·Acta Ophthalmologica·Laura Armonaite, Anders Behndig
Jun 13, 2017·Journal of Cataract and Refractive Surgery·Garry P Condon
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Jan 8, 2021·BMC Ophthalmology·Tatsuya JujoHitoshi Takagi
Nov 6, 2020·Journal of Cataract and Refractive Surgery·Ori S MahlerAdi Einan-Lifshitz
Apr 29, 2021·Journal of Cataract and Refractive Surgery·Sergio Canabrava
Mar 23, 2021·Journal of Cataract and Refractive Surgery·Olav KristianslundLiv Drolsum

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