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. 2018 Apr 2;18(1):84.
doi: 10.1186/s12886-018-0741-2.

Capture of intraocular lens optic by residual capsular opening in secondary implantation: long-term follow-up

Tian Tian  1 , Chunli Chen  2 , Haiying Jin  1 , Lyu Jiao  1 , Qi Zhang  1 , Peiquan Zhao  3
Affiliations

Capture of intraocular lens optic by residual capsular opening in secondary implantation: long-term follow-up

Tian Tian et al. BMC Ophthalmol. .

Abstract

Background: To introduce a novel surgical technique for optic capture by residual capsular opening in secondary intraocular lens (IOL) implantation and to report the outcomes of a long follow-up.

Methods: Twenty patients (20 eyes) who had received secondary IOL implantation with the optic capture technique were retrospectively reviewed. We used the residual capsular opening for capturing the optic and inserted the haptics in the sulcus during surgery. Baseline clinical characteristics and surgical outcomes, including best-corrected visual acuity (BCVA), refractive status, and IOL position were recorded. The postoperative location and stability of IOL were evaluated using the ultrasound biomicroscopy.

Results: Optic capture technique was successfully performed in all cases, including 5 cases with large area of posterior capsular opacity, 6 cases with posterior capsular tear or rupture,and 9 cases with adhesive capsules. BCVA improved from 0.60 logMAR at baseline to 0.36 logMAR at the last follow-up (P < 0.001). Spherical equivalent changed from 10.67 ± 4.59 D at baseline to 0.12 ± 1.35 D at 6 months postoperatively (P < 0.001). Centered IOLs were observed in all cases and remained captured through residual capsular opening in 19 (95%) eyes at the last follow-up. In one case, the captured optic of IOL slid into ciliary sulcus at 7 months postoperatively. No other postoperative complications were observed in any cases.

Conclusions: This optic capture technique by using residual capsule opening is an efficacious and safe technique and can achieve IOL stability in the long follow-up.

Keywords: Dislocation; Intraocular lens; Optic capture; Secondary IOL implantation.

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Conflict of interest statement

Ethics approval and consent to participate

This study adhered to the tenets of the Declaration of Helsinki and was approved by institution review board of Xinhua hospital affiliated to medical college, Shanghai Jiaotong University. The written informed consent to participate was obtained from each patient or his or her parent(s)/ legal guardian(s).

Consent for publication

The written consent for publication of the individual details and images was obtained from each patient. For patients under 18-year old, the written consent was obtained from his/her parent (s) or legal guardian(s). The written consent was obtained from the patient’s parents whose images were shown in Fig. 4.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Three cases underwent optic capture technique with three indications: intraoperative photos. The intraoperative photo (a) showed the large area of posterior capsular opacity in a 68 years old female (Case 1) with proliferative diabetic retinopathy. Optic was captured through the residual capsular opening after posterior capsule cut using vitreous cutter (b). The intraoperative photo (c) showed 360-degree synechia of capsules and posterior synechia of iris in a 61 years old male (Case 4). After managing the posterior synechia, the optic was captured through the residual capsular opening (d). The intraoperative photo (e) showed the posterior capsule tear caused by trauma in a 12-year old female (Case 2). After trimming, the posterior capsular opening was equal to the anterior capsular opening (e). The captured optic was centered with clear visual axis (f)
Fig. 2
Fig. 2
Three patients who underwent IOL optic capture technique: intraoperative photos (a, b and c) and schematic illustration (d). The intraoperative photo (a) showed two haptics (black arrows) of IOL were inserted in the ciliary sulcus with the optic (white arrow) captured through residual capsular openings (red arrow). And the intraoperative photo (b) showed the successful captured optic made an oval capsular configuration (white arrows). The ideal size of capsular opening is around 4.0 mm to 5.0 mm, which should be at least 1.0 mm or 2.0 mm (white arrows) smaller than the optic diameter (c). The Schematic illustrations (d) of optic capture technique showed the optic of IOL (the edge was shown as dark gray color) captured through residual capsular opening with haptics in the ciliary sulcus
Fig. 3
Fig. 3
A 50 years old male (Case 20), phaco and vitrectomy were performed because of macular hole. The Slit-lap photo (a) showed the centered IOL with optic captured through posterior capsular opening and haptics in the sulcus, at 6 months postoperatively. Ultrasound biomircoscopy (b, c and d) showed the optic was centered and two haptics were located at 2 o’clock and 8 o’clock, repectively
Fig. 4
Fig. 4
A 10 years old male (Case 17), lensectomy and pans plana vitrectomy were performed because of traumatic macular hole. The Slit-lap photo (a) showed the centered IOL at 7 months postoperatively. However, ultrasound biomircoscopy (b, c and d) showed the optic and two haptics were in the sulcus. Two haptics were located at 5 o’clock and 11 o’clock, respectively
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References

    1. Ohta T, Toshida H, Murakami A. Simplified and safe method of sutureless intrascleral posterior chamber intraocular lens fixation: Y-fixation technique. J Cataract Refract Surg. 2014;40(1):2–7. doi: 10.1016/j.jcrs.2013.11.003. - DOI - PubMed
    1. Yamane S, Inoue M, Arakawa A, Kadonosono K. Sutureless 27-gauge needle-guided intrascleral intraocular lens implantation with lamellar scleral dissection. Ophthalmology. 2014;121(1):61–66. doi: 10.1016/j.ophtha.2013.08.043. - DOI - PubMed
    1. Bading G, Hillenkamp J, Sachs HG, Gabel VP, Framme C. Long-term safety and functional outcome of combined pars plana vitrectomy and scleral-fixated sutured posterior chamber lens implantation. Am J Ophthalmol. 2007;144(3):371–377. doi: 10.1016/j.ajo.2007.05.014. - DOI - PubMed
    1. McAllister AS, Hirst LW. Visual outcomes and complications of scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg. 2011;37(7):1263–1269. doi: 10.1016/j.jcrs.2011.02.023. - DOI - PubMed
    1. Nihalani BR, Vanderveen DK. Secondary intraocular lens implantation after pediatric aphakia. J AAPOS. 2011;15(5):435–440. doi: 10.1016/j.jaapos.2011.05.019. - DOI - PubMed