Modified Technique for Sutured Intraocular Lens.

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-09-24 DOI:10.1097/IAE.0000000000004692

Rui Wang, Palak R Patel, Prithvi R Bomdica, Yi-Chia Chen, Bradley T Smith

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引用次数: 0

Abstract

Purpose: To describe a novel scleral fixation technique for the Akreos AO60 intraocular lens (IOL) using Gore-Tex sutures buried within the sclera to minimize long-term exposure-related complications and improve cosmetic outcomes.

Methods: Four eyes of four patients underwent scleral fixation of the Akreos AO60 lens using the modified ab externo approach. Outcomes included best-corrected visual acuity (BCVA), IOL centration, and suture-related complications.

Results: Preoperative BCVA ranged from 20/60 to 20/300. Postoperative BCVA ranged from 20/30 to 20/90 at final follow-up. All IOLs remained well-centered with no visible suture on external exam. One patient developed transient postoperative hypotony and a macula-off retinal detachment one month after lens fixation, which was successfully repaired with pars plana vitrectomy. No patients required additional surgery related to the IOL or suture material.

Conclusion: The described technique allows secure scleral fixation of the Akreos AO60 IOL while minimizing the risk of Gore-Tex suture exposure. This modification may improve long-term outcomes and cosmesis.

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人工晶状体缝合的改良技术。

目的：描述一种用于Akreos AO60人工晶状体（IOL）的新型巩膜固定技术，使用Gore-Tex缝合线埋在巩膜内，以减少长期暴露相关的并发症并改善美容效果。方法：对4例患者的4只眼采用改良的体外入路巩膜固定Akreos AO60晶状体。结果包括最佳矫正视力（BCVA）、人工晶状体浓度和缝合线相关并发症。结果：术前BCVA范围为20/60 ~ 20/300。术后BCVA在最终随访时为20/30 ~ 20/90。所有人工晶状体均居中，外检无明显缝合线。1例患者在晶状体固定1个月后出现短暂性低斜视和视网膜黄斑脱落，经玻璃体切割手术成功修复。没有患者需要额外的与人工晶状体或缝合材料相关的手术。结论：所述技术可以使Akreos AO60人工晶状体的巩膜固定安全，同时将Gore-Tex缝线暴露的风险降至最低。这种修改可能会改善长期结果和外观。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

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. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.