Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach
Joint Authors
Casaroli-Marano, Ricardo
Nadal, Jeroni
Kudsieh, Bachar
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
To evaluate visual outcomes, corneal changes, intraocular lens (IOL) stability, and complications after repositioning posteriorly dislocated IOLs and sulcus fixation with polyester sutures.
Design.
Prospective consecutive case series.
Setting.
Institut Universitari Barraquer.
Participants.
25 eyes of 25 patients with posteriorly dislocated IOL.
Methods.
The patients underwent 23-gauge vitrectomy via the sulcus to rescue dislocated IOLs and fix them to the scleral wall with a previously looped nonabsorbable polyester suture.
Main Outcome Measures.
Best corrected visual acuity (BCVA) LogMAR, corneal astigmatism, endothelial cell count, IOL stability, and postoperative complications.
Results.
Mean follow-up time was 18.8 ± 10.9 months.
Mean surgery time was 33 ± 2 minutes.
Mean BCVA improved from 0.30 ± 0.48 before surgery to 0.18 ± 0.60 (p=0.015) at 1 month, which persisted to 12 months (0.18 ± 0.60).
Neither corneal astigmatism nor endothelial cell count showed alterations 1 year after surgery.
Complications included IOL subluxation in 1 eye (4%), vitreous hemorrhage in 2 eyes (8%), transient hypotony in 2 eyes (8%), and cystic macular edema in 1 eye (4%).
No patients presented retinal detachment.
Conclusion.
This surgical technique proved successful in the management of dislocated IOL.
Functional results were good and the complications were easily resolved.
American Psychological Association (APA)
Nadal, Jeroni& Kudsieh, Bachar& Casaroli-Marano, Ricardo. 2015. Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach. Journal of Ophthalmology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1069719
Modern Language Association (MLA)
Nadal, Jeroni…[et al.]. Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach. Journal of Ophthalmology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1069719
American Medical Association (AMA)
Nadal, Jeroni& Kudsieh, Bachar& Casaroli-Marano, Ricardo. Scleral Fixation of Posteriorly Dislocated Intraocular Lenses by 23-Gauge Vitrectomy without Anterior Segment Approach. Journal of Ophthalmology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1069719
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1069719