Reinforced scleral fixation of foldable intraocular lens by double sutures: comparison with intrascleral intraocular lens fixation

Japanese Journal of Ophthalmology
Yodpong ChantarasornAnurak Tamerug

Abstract

The purpose of this study is to describe a new technique for small-incision scleral fixation of intraocular lens (IOL) using double 10-0 polypropylene sutures, and to report the outcomes of IOL position compared with intrascleral IOL fixation at 12-month follow-up. A retrospective comparative study. This new technique, called double sutured scleral fixated-IOL (DSF-IOL), was created to help with long-term knots strengthening by applying double sutures to each IOL haptic using an augmented Clove-hitch knot instead of the conventional knots tied by single suture. The tilt and decenter of IOL were measured by Scheimpflug camera and other refractive outcomes were compared between two groups at 12-month follow-up. This study consisted of 26 eyes (54.2%) from the DSF-IOL group, and 22 eyes (45.8%) from the intrascleral fixated IOL (ISF-IOL) group. No significant differences of mean absolute degree of IOL tilt (2.90 ± 0.77 vs 2.82 ± 0.72; p = 0.633) and IOL decenter (151.90 ± 59.80 vs 175.0 ± 73.14 microns; p = 0.265) were found between the two groups. Post-operative LogMAR visual acuity was not statistically different between the two groups (0.32 ± 0.17 vs 0.41 ± 0.19, p = 0.089). Early post-operative hypotony was only present in the...Continue Reading

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Citations

Oct 30, 2020·Clinical Ophthalmology·Ahmed SamirAyman Lotfy
Jan 21, 2021·Clinical Ophthalmology·Ciro Tamburrelli, Anna Clara Tamburrelli
May 21, 2021·International Ophthalmology·Tansu Erakgun, Hamidu Hamisi Gobeka
Jan 23, 2021·Asia-Pacific Journal of Ophthalmology·Ho Ming WongAlvin L Young
Mar 13, 2020·Ophthalmic Research·Gabriel Bezerra CastaldelliJoão Crispim Ribeiro

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