One-year outcomes of eyes treated with a sutureless scleral fixation technique for intraocular lens placement or rescue.

Wilgucki, John D; Wheatley, H Matthew; Feiner, Leonard; Ferrone, Mark V; Prenner, Jonathan L · Retina · 2015

case_series · Level IV

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Abstract

To report the 1 year results of a novel surgical technique for sutureless scleral fixation of a 3-piece intraocular lens. Retrospective consecutive series of patients who underwent sutureless scleral fixation of a three-piece intraocular lens. All patients were required to have at least 1 year of follow-up to be included in the series. Outcomes data were obtained and treated with simple statistical analyses. A total of 24 patients were included in the study population. The average age was 75 years (range, 44-87). Short-term complications were few and included vitreous hemorrhage (n = 2), elevated intraocular pressure (n = 1), and hypotony (n = 1). Long-term complications included intraocular lens dislocation (n = 3) and cystoid macular edema (n = 1). Mean visual acuity improved from logMAR 1.30 (Snellen 20/399) to 0.52 (Snellen 20/66) at 1 year. This novel technique for sutureless scleral fixation of a three-piece intraocular lens was well-tolerated 1 year after surgery.

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