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. 2021 Nov;41(11):3663-3673.
doi: 10.1007/s10792-021-01927-6. Epub 2021 Jun 26.

Outcomes of a new suture technique for the treatment of dislocated intraocular lenses: locked loop on the haptic

Ugur Unsal  1 , Berkay Akmaz  2 , Deniz Kilic  3
Affiliations

Outcomes of a new suture technique for the treatment of dislocated intraocular lenses: locked loop on the haptic

Ugur Unsal et al. Int Ophthalmol. 2021 Nov.

Abstract

Purpose: To evaluate surgical and refractive outcomes of a new sutured scleral fixation technique in the management of subluxated intraocular lenses (IOLs).

Methods: Nineteen eyes treated with the new scleral fixation technique were included. The mean corrected distance visual acuity (CDVA), postoperative refraction error, mean endothelial cell count (ECC), and complications were recorded. All patients were evaluated immediately postoperatively, at 1 and 7 days, and then at 1, 3, and 6 months.

Results: The mean duration of follow-up of the patients was 10 months (range, 6-15 months). The mean CDVA was 0.41 ± 0.1 logMAR (logarithm of minimum angle of resolution) preoperatively and was 0.08 ± 0.07 logMAR postoperatively. The mean astigmatism was - 2.22 ± 1.86 D preoperative and was - 0.86 ± 0.58 D postoperative. The mean preoperative and postoperative ECC was 2455 ± 288 and 2352 ± 288, respectively. One patient (5.26%) experienced vitreous hemorrhage, and two (10.52%) experienced intraocular pressure elevation. IOL tilt and decentralization, conjunctival erosion, and cystoid macular edema were not observed in any eyes during follow-up.

Conclusion: This new IOL repositioning technique can be applied in a short surgical time and provides a stable IOL centration on long-term follow-up.

Keywords: Dislocated intraocular lenses; Intraocular lenses; Locked-loop technique; Sutured scleral fixation.

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