The Suture-In-Needle, Closed-Loop Technique for Repositioning a Dislocated Akreos Adapt Intraocular Lens.

IF 1.8 4区 医学 Q3 OPHTHALMOLOGY
Journal of Ophthalmology Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI:10.1155/joph/6846620
Jingjing Zhang, Fang Liu, Kunkun Zheng, Lei Wan
{"title":"The Suture-In-Needle, Closed-Loop Technique for Repositioning a Dislocated Akreos Adapt Intraocular Lens.","authors":"Jingjing Zhang, Fang Liu, Kunkun Zheng, Lei Wan","doi":"10.1155/joph/6846620","DOIUrl":null,"url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate a modified minimally invasive technique for trans-scleral repositioning of dislocated Akreos Adapt intraocular lenses (IOLs) without scleral flaps. <b>Methods:</b> This retrospective case series included 17 eyes with subluxated or dislocated IOLs that underwent repositioning using a suture-in-needle, closed-loop technique. The procedure involved passing an 8-0 polypropylene suture through the IOL's four fenestrated haptics using a bent 30-gauge needle. The exterior suture knot was buried into the sclera without creating scleral flaps or dissecting the conjunctiva. Data on pre- and postoperative intraocular pressure, best-corrected visual acuity, IOL position, corneal endothelial cell counts, and intra-/postoperative complications were collected and analyzed. The follow-up period lasted at least 6 months. <b>Results:</b> All 17 cases demonstrated stable and well-centered IOLs with improved visual acuity. No significant complications, including IOL tilt, decentration, vitreous hemorrhage, hypotony, iris capture, or suture erosion, were observed during the follow-up. <b>Conclusion:</b> The suture-in-needle, closed-loop technique for trans-scleral refixation of dislocated Akreos Adapt IOLs is minimally invasive, achieves excellent anatomical and functional outcomes, and reduces the risk of complications.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2025 ","pages":"6846620"},"PeriodicalIF":1.8000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944871/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/joph/6846620","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: To evaluate a modified minimally invasive technique for trans-scleral repositioning of dislocated Akreos Adapt intraocular lenses (IOLs) without scleral flaps. Methods: This retrospective case series included 17 eyes with subluxated or dislocated IOLs that underwent repositioning using a suture-in-needle, closed-loop technique. The procedure involved passing an 8-0 polypropylene suture through the IOL's four fenestrated haptics using a bent 30-gauge needle. The exterior suture knot was buried into the sclera without creating scleral flaps or dissecting the conjunctiva. Data on pre- and postoperative intraocular pressure, best-corrected visual acuity, IOL position, corneal endothelial cell counts, and intra-/postoperative complications were collected and analyzed. The follow-up period lasted at least 6 months. Results: All 17 cases demonstrated stable and well-centered IOLs with improved visual acuity. No significant complications, including IOL tilt, decentration, vitreous hemorrhage, hypotony, iris capture, or suture erosion, were observed during the follow-up. Conclusion: The suture-in-needle, closed-loop technique for trans-scleral refixation of dislocated Akreos Adapt IOLs is minimally invasive, achieves excellent anatomical and functional outcomes, and reduces the risk of complications.

求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Ophthalmology
Journal of Ophthalmology MEDICINE, RESEARCH & EXPERIMENTAL-OPHTHALMOLOGY
CiteScore
4.30
自引率
5.30%
发文量
194
审稿时长
6-12 weeks
期刊介绍: Journal of Ophthalmology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the anatomy, physiology and diseases of the eye. Submissions should focus on new diagnostic and surgical techniques, instrument and therapy updates, as well as clinical trials and research findings.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信