Intraoperative performance and long-term postoperative outcomes after scleral fixation of IOLs with polytetrafluoroethylene suture.

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  • Additional Information
    • Source:
      Publisher: Wolters Kluwer on behalf of ASCRS and ESCRS Country of Publication: United States NLM ID: 8604171 Publication Model: Print Cited Medium: Internet ISSN: 1873-4502 (Electronic) Linking ISSN: 08863350 NLM ISO Abbreviation: J Cataract Refract Surg Subsets: MEDLINE
    • Publication Information:
      Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS
      Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986-
    • Subject Terms:
      Lenses, Intraocular* ; Polytetrafluoroethylene*; Follow-Up Studies ; Humans ; India ; Lens Implantation, Intraocular ; Postoperative Complications ; Postoperative Period ; Prospective Studies ; Retrospective Studies ; Sclera/surgery ; Suture Techniques ; Sutures
    • Abstract:
      Purpose: To report intraoperative performance and long-term postoperative outcomes after scleral fixation of intraocular lenses (IOLs) with polytetrafluoroethylene suture (PTFE).
      Setting: Raghudeep Eye Hospital, Ahmedabad, India.
      Design: Prospective, interventional case series.
      Methods: One hundred eyes undergoing scleral fixation of IOLs using PTFE suture (Gore-Tex) with 12 months or more postoperative follow-up were included. The primary outcome measures were occurrence of intraoperative and postoperative complications such as glaucoma, suture-related complications, and inflammation within the follow-up period. The secondary outcome measure was improvement in visual acuity (VA).
      Results: Of the 100 eyes, posteriorly dislocated IOLs (53 eyes) followed by dropped nuclei (33 eyes) were the most common surgical indications. Mean follow-up was 23 months (range 12 months to 5 years). Seventy-one patients (77.17%) had 18 months or more follow-up; 21 eyes had a rise in intraocular pressure in the early postoperative period; 12 of them required glaucoma surgery. Early complications were vitreous hemorrhage in 13 eyes, retinal detachment in 6 eyes, and transient hyphema in 1 eye. Late postoperative complications were cystoid macular edema (9 eyes), epiretinal membrane (3 eyes), and bullous keratopathy (3 eyes). Mean VA improved from 0.92 ± 0.16 (SD) logarithm of the minimum angle of resolution (logMAR) preoperatively to 0.41 ± 0.27 logMAR. LogMAR at final follow-up was 0.41 ± 0.28 (P < .01). There were no cases of suture-related complications (erosion/breakage/granuloma) or IOL decentration throughout the follow-up period.
      Conclusions: Scleral fixation of IOLs with PTFE suture was found to be safe and well tolerated. All eyes had well-centered IOLs, with no suture-related complications during long-term follow-up. VA improved significantly with acceptable postoperative complications.
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    • Accession Number:
      9002-84-0 (Polytetrafluoroethylene)
    • Publication Date:
      Date Created: 20200711 Date Completed: 20210729 Latest Revision: 20210729
    • Publication Date:
      20240829
    • Accession Number:
      10.1097/j.jcrs.0000000000000309
    • Accession Number:
      32649434