A modified technique of sutured scleral fixated Intraocular lens implantation - It's simpler!
Keywords:
Sutured, Scleral fixated (SFIOL), Apakia, Ab externoAbstract
Background : Scleral Fixated Intraocular Lens (SFIOL) implantation was first described in 1950. Since then different ways of performing the procedure have been described. These are basically grouped into either ab interno or ab externo techniques. Method : A retrospective case-series descriptive study. SFIOLs were implanted in 66 eyes of 66 consecutive patients with varying indications at a tertiary centre. The surgery was performed by an ab externo method with a single suture railroading technique, without creation of scleral flaps and without use of viscoelastic material. Post-operative visual recovery and complications over 12 months follow up were studied. Result : Visual recovery after the procedure was comparable to other studies. Complications noted were also similar to other studies. Conclusion : SFIOL implantation without the creation of scleral flaps reduced surgical time, w h i l e t h e c o m p l i c a t i o n r a t e s r e m a i n e d comparable to similar studies. There was a reduced risk of glaucoma without the use of viscoelastic materials in the surgery.
Downloads
References
Donaldson KE,Gorscak JJ,Budenz DL,Feuer WJ,Benz MS,Forster RK.Anterior chamber and sutured posterior chamber intra ocular lenses in eye with poor capsular support. J Cataract Refract Surg.2015;31:903-9.
Bading G,Hillenkamp J,Sachs HG,Gabel VP,Framme C.Long-term safety and functional outcome of combined pars plans vitrctomy and scleral -fixated sutured posterior chamber lens implantation.Am J Ophthalmol.2007;144:371-7
Lewis JS. Ab externo sulculs fixation.Ophthalmic surg 1991;22:692-95.
Lewis JS.sulcus fixation without flaps.Ophthalmology.1993:100:1346-50.
Heilskov T,Joondeph BC,Olsen KR, Blankenship GW.Late endopthalmitis after transscleral fixation of a posterior chamber intraocular lens.Arch Opthamlmol.1989;107:1427
price MO,Price FW, ,Jr,Werner L,Berlie C,MamalisN.Late dislocation of scleral-sutured posterior chamber intraocular lenses.J Cataract Refract surg.2005;31:1320-6.
Kim J,kinyoun JL,Saperstein DA,Porter SL. Subluxation of transscleral sutured posterior chamber intraocular lens (TSIOL) Am J Ophthalmol .2003;136:382-4.
szurman P,Petermerier K,Jaissle GB,Spitzer MS Bartz-Schmidt KU.(Injector implantation of a scleral-fixated intraocular lens) Ophthamlologe.2006;103:1020-26.
Vote BJ,Tranos P,Bunce C, Charteris DG, Da Cruz L. Long-term outcome of combined pars plana vitrctomy and scleral-fixated sutured posterior chamber intraocular lens implantation.Am J Ophthalmol.2006; 141;308-12.
Drews RC. Quality control,and changing indication for lens implantation.The seventh Binkhorst Medal Lecture-1982.Ophthamology.1983;90:301-10.
Lee VY,Yuen HK, Kwok AK.Comparison of outcomes of primary and secondary implantation of scleral fixated posterior chamber intraocular lens.Br JOphtgalmol 2003;87:1459-1462
Wangoner, M.D.,Cox,T.X., Ariyasu,R.G., Jacobs,D.S.,Karp,C.L. Intraocular lens implantation in the absence of capsular support (a report by the American Academy of Opthalmology) Ophthalmology.2003;110:840-859.
Johnston,R.L.,Charateris,D.G.,Horgan,S.E., cooling,R.J.Combined pars plana vitrctomy and sutured posterior chamber implant.Arch Ophthalmol.2000;118:905-910.
Kumar DA, Agarwal A,Prakash G,Jacob S, Saravanan Y, Agrwal A.Glued posterior chamber IOL in eye with deficient capsular support:A retrospective analysis of 1-year post-operative outcomes.Eye(Lond).2010;24(7);1143-1148.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.