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. 2020 Nov;46(11):1480-1486.
doi: 10.1097/j.jcrs.0000000000000309.

Intraoperative performance and long-term postoperative outcomes after scleral fixation of IOLs with polytetrafluoroethylene suture

Deepak Bhojwani  1 , Abhay R Vasavada, Vaishali Vasavada, Shail Vasavada, Mamidipudi R Praveen, Samaresh Srivastava
Affiliations

Intraoperative performance and long-term postoperative outcomes after scleral fixation of IOLs with polytetrafluoroethylene suture

Deepak Bhojwani et al. J Cataract Refract Surg. 2020 Nov.

Abstract

Purpose: To report intraoperative performance and long-term postoperative outcomes after scleral fixation of intraocular lenses (IOLs) with polytetrafluoroethylene suture (PTFE).

Setting: Raghudeep Eye Hospital, Ahmedabad, India.

Design: Prospective, interventional case series.

Methods: One hundred eyes undergoing scleral fixation of IOLs using PTFE suture (Gore-Tex) with 12 months or more postoperative follow-up were included. The primary outcome measures were occurrence of intraoperative and postoperative complications such as glaucoma, suture-related complications, and inflammation within the follow-up period. The secondary outcome measure was improvement in visual acuity (VA).

Results: Of the 100 eyes, posteriorly dislocated IOLs (53 eyes) followed by dropped nuclei (33 eyes) were the most common surgical indications. Mean follow-up was 23 months (range 12 months to 5 years). Seventy-one patients (77.17%) had 18 months or more follow-up; 21 eyes had a rise in intraocular pressure in the early postoperative period; 12 of them required glaucoma surgery. Early complications were vitreous hemorrhage in 13 eyes, retinal detachment in 6 eyes, and transient hyphema in 1 eye. Late postoperative complications were cystoid macular edema (9 eyes), epiretinal membrane (3 eyes), and bullous keratopathy (3 eyes). Mean VA improved from 0.92 ± 0.16 (SD) logarithm of the minimum angle of resolution (logMAR) preoperatively to 0.41 ± 0.27 logMAR. LogMAR at final follow-up was 0.41 ± 0.28 (P < .01). There were no cases of suture-related complications (erosion/breakage/granuloma) or IOL decentration throughout the follow-up period.

Conclusions: Scleral fixation of IOLs with PTFE suture was found to be safe and well tolerated. All eyes had well-centered IOLs, with no suture-related complications during long-term follow-up. VA improved significantly with acceptable postoperative complications.

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References

    1. Vasavada AR, Nihalani BR. Pediatric cataract surgery. Curr Opin Ophthalmol 2006;17:54–61
    1. Osher RH, Cionni RJ. Complications of phacoemulsification surgery. In: Weinstock FJ, ed. Management and Care of the Cataract Patient. Oxford: Blackwell Scientific Publications; 1992:198–211
    1. Holt DG, Young J, Stagg B, Ambati BK. Anterior chamber intraocular lens, sutured posterior chamber intraocular lens, or glued intraocular lens: where do we stand? Curr Opin Ophthalmol 2012;23:62–67
    1. Khan MA, Gupta OP, Smith RG, Ayres BD, Raber IM, Bailey RS, Hsu J, Spirn MJ. Scleral fixation of intraocular lenses using gore-tex suture: clinical outcomes and safety profile. Br J Ophthalmol 2016;100:638–643
    1. Hannush SB. Sutured posterior chamber intraocular lenses: indications and procedure. Currernt Opin Ophthalmol 2000;11:233–240

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