{"title":"Simplified Technique for Correcting Intraocular Lens Decentration in Scleral-Sutured Fixation Surgery.","authors":"Jiemei Shi, Yuan Zong, Kaicheng Wu, Chunhui Jiang","doi":"10.1097/IAE.0000000000004401","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To describe a simplified technique for correcting intraocular lens (IOL) decentration during scleral-sutured IOL fixation surgery.</p><p><strong>Methods: </strong>During surgery, Purkinje images were utilized to assess IOL positioning. A straightforward IOL decentration adjustment technique was employed when necessary. Patients in whom IOL position were corrected and who were followed up for at least three months after surgery were included in the study.</p><p><strong>Results: </strong>From June 2023 to February 2024, six patients with noticeable IOL decentration were successfully treated using this technique. After a mean follow-up of 3.17 ± 0.37 months, there was a significant change in spherical equivalent (preoperative +10.55 ± 2.48 D, postoperative -1.58 ± 2.19 D). While the best-corrected visual acuity, refractive cylinder, intraocular pressure, and corneal endothelium density remained unchanged. Importantly, the IOL was well-centered in all six patients, with average horizontal and vertical IOL decentration of 0.21 ± 0.16 mm and 0.20 ± 0.15 mm, respectively.</p><p><strong>Conclusion: </strong>This simple IOL decentration correction technique demonstrated favorable results and may enhance IOL positioning in scleral fixation procedures.</p>","PeriodicalId":54486,"journal":{"name":"Retina-The Journal of Retinal and Vitreous Diseases","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retina-The Journal of Retinal and Vitreous Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IAE.0000000000004401","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To describe a simplified technique for correcting intraocular lens (IOL) decentration during scleral-sutured IOL fixation surgery.
Methods: During surgery, Purkinje images were utilized to assess IOL positioning. A straightforward IOL decentration adjustment technique was employed when necessary. Patients in whom IOL position were corrected and who were followed up for at least three months after surgery were included in the study.
Results: From June 2023 to February 2024, six patients with noticeable IOL decentration were successfully treated using this technique. After a mean follow-up of 3.17 ± 0.37 months, there was a significant change in spherical equivalent (preoperative +10.55 ± 2.48 D, postoperative -1.58 ± 2.19 D). While the best-corrected visual acuity, refractive cylinder, intraocular pressure, and corneal endothelium density remained unchanged. Importantly, the IOL was well-centered in all six patients, with average horizontal and vertical IOL decentration of 0.21 ± 0.16 mm and 0.20 ± 0.15 mm, respectively.
Conclusion: This simple IOL decentration correction technique demonstrated favorable results and may enhance IOL positioning in scleral fixation procedures.
期刊介绍:
RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice.
In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color.
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