VITREORETINAL OUTCOMES FOLLOWING SECONDARY INTRAOCULAR LENS IMPLANTATION WITH PARS PLANA VITRECTOMY.

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8309919 Publication Model: Print Cited Medium: Internet ISSN: 1539-2864 (Electronic) Linking ISSN: 0275004X NLM ISO Abbreviation: Retina Subsets: MEDLINE

Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Philadelphia : Lippincott, [1981?-

Vitrectomy*/methods ; Vitrectomy*/adverse effects ; Lens Implantation, Intraocular*/methods ; Lens Implantation, Intraocular*/adverse effects ; Retinal Detachment*/surgery ; Postoperative Complications*/epidemiology ; Visual Acuity*; Humans ; Retrospective Studies ; Female ; Male ; Aged ; Middle Aged ; Retinal Perforations/surgery ; Follow-Up Studies ; Intraoperative Complications ; Incidence ; Reoperation ; Lenses, Intraocular/adverse effects

Background: Retrospective cohort study of 561 adult patients undergoing secondary intraocular lens (IOL) implantation by vitreoretinal surgeons at a single institution from April 2015 to December 2020.
Methods: Patient historical factors, intraoperative/postoperative complications, and outcomes of IOL type (anterior chamber IOL versus scleral sutured IOL versus scleral fixated IOL versus. sulcus) were assessed. Primary outcomes were rates of postoperative retinal tears and rhegmatogenous retinal detachment. Secondary outcomes were rates of intraoperative endolaser, intraoperative retinal tear, and further IOL surgery.
Results: The incidence of intraoperative retinal tears was 7.3% and not significantly different between techniques. Rates of intraoperative endolaser use were 17.5% among all techniques and not significantly different between techniques. Rates of postoperative retinal tear were low (0%-2.7%). Rates of postoperative rhegmatogenous retinal detachment were not significantly different between techniques (anterior chamber IOL 9/198 [4.5%], SFIOL 1/54 [1.9%], scleral sutured IOL 14/274 [5.1%], sulcus 2/35 [5.7%], total 26/561 [4.6%], P = 0.79). Rates of repeat IOL surgery trended higher in sulcus lenses (anterior chamber IOL 5/198 [2.5%], SFIOL 4/54 [7.4%], scleral sutured IOL 16/274 [5.8%], sulcus 5/35 [14.3%], total 30/561 [5.3%], P = 0.12).
Conclusion: Intraoperative endolaser use and intraoperative retinal tear are not uncommon in secondary IOL surgery and underscore the importance of careful vitreoretinal management among these patients.

Stem MS, Todorich B, Woodward MA, et al. Scleral-fixated intraocular lenses: past and present. J Vitreoretin Dis 2017;1:144–152.
Vounotrypidis E, Schuster I, Mackert MJ, et al. Secondary intraocular lens implantation: a large retrospective analysis. Graefes Arch Clin Exp Ophthalmol 2019;257:125–134.
Patel LG, Starr MR, Ammar MJ, Yonekawa Y. Scleral fixated secondary intraocular lenses: a review of recent literature. Curr Opin Ophthalmol 2020;31:161.
Kaufmann GT, Boucher N, Sharma C, Starr MR. Trends in secondary intraocular lens surgery among vitreoretinal surgeons. Ophthalmol Retina 2019;257:125–134.
Hazar L, Kara N, Bozkurt E, et al. Intraocular lens implantation procedures in aphakic eyes with insufficient capsular support associated with previous cataract surgery. J Refract Surg 2013;29:685–691.
Do JR, Park SJ, Mukai R, et al. A 1-year prospective comparative study of sutureless flanged intraocular lens fixation and conventional sutured scleral fixation in intraocular lens dislocation. Ophthalmologica 2021;244:68–75.
Jones JJ, Jones YJ, Jin GJC. Indications and outcomes of intraocular lens exchange during a recent 5-year period. Am J Ophthalmol 2014;157:154–162.e1.
Davies EC, Pineda RI. Intraocular lens exchange surgery at a tertiary referral center: indications, complications, and visual outcomes. J Cataract Refract Surg 2016;42:1262.
Starr MR, Ferenchak K, Mogil R. Scleral sutured toric intraocular lens with pars plana vitrectomy for the correction of corneal astigmatism without capsular support. Retin Cases Brief Rep 2023. doi:10.1097/ICB.0000000000001481.
Kaufmann GT, Boucher N, Sharma C, Starr MR. Trends in secondary intraocular lens surgery among vitreoretinal surgeons. Ophthalmol Retina 2023;7:965–971.
Cho BJ, Yu HG. Surgical outcomes according to vitreous management after scleral fixation of posterior chamber intraocular lenses. Retina 2014;34:1977–1984.
Lichtinger A, Kim P, Yeung SN, et al. Secondary intraocular lens interventions: predisposing factors, indications and coincident procedures. Int Ophthalmol 2013;33:111–115.
Melamud A, Topilow JS, Cai L, He X. Pars plana vitrectomy combined with either secondary scleral-fixated or anterior chamber intraocular lens implantation. Am J Ophthalmol 2016;168:177–182.
Rossi T, Iannetta D, Romano V, et al. A novel intraocular lens designed for sutureless scleral fixation: surgical series. Graefes Arch Clin Exp Ophthalmol 2021;259:257–262.
Day AC, Donachie PHJ, Sparrow JM, Johnston RL. The Royal College of Ophthalmologists' National Ophthalmology Database study of cataract surgery: report 1, visual outcomes and complications. Eye 2015;29:552–560.
Fonteh CN, Patnaik JL, Grove NC, et al. Predictors of pseudophakic retinal tears at a tertiary care academic medical center. Ophthalmol Retina 2022;6:450–456.
Neuhann IM, Hilgers RD, Bartz-Schmidt KU. Intraoperative retinal break formation in 23-/25-gauge vitrectomy versus 20-gauge vitrectomy. Ophthalmologica. 2012;229:50–53.
Covert DJ, Henry CR, Bhatia SK, et al. Intraoperative retinal tear formation and postoperative rhegmatogenous retinal detachment in transconjunctival cannulated vitrectomy systems compared with the standard 20-gauge system. Arch Ophthalmol 2012;130:186–189.
Ramkissoon YD, Aslam SA, Shah SP, et al. Risk of iatrogenic peripheral retinal breaks in 20-G pars plana vitrectomy. Ophthalmology 2010;117:1825–1830.
Rezeq SS, Vander JF, Hsu J, et al. Iatrogrenic retinal breaks. Ophthalmology 2011;118:1696–1696.e1.
Marie-Louise J, Philippakis E, Darugar A, et al. Occurrence rate of retinal detachment after small gauge vitrectomy for idiopathic epiretinal membrane. Eye 2017;31:1259–1265.
Grajewski L, Grajewski O, Carstens J, Krause L. Incidence of retinal detachment after macular surgery [in German]. Klin Monatsbl Augenheilkd 2021;238:580–583.
Vangipuram G, Li C, Li S, et al. Timing of delayed retinal pathology in patients presenting with acute posterior vitreous detachment in the IRIS® registry (intelligent research in Sight). Ophthalmol Retina 2023;7:713–720.
Al-Abdullah AA, Al-Falah MA, Al-Rasheed SA, et al. Retinal complications after anterior versus posterior chamber phakic intraocular lens implantation in a myopic cohort. J Refract Surg Thorofare NJ 19952015;31:814–819.
Xu W, Song Z, Huang Y, et al. Long-term outcomes of retinal detachment in phakic eyes after implantation of implantable collamer lens V4c for high myopia correction. Front Med 2020;7:582633.
Williams MA, McGimpsey S, Abugreen S, et al. The incidence and rate of rhegmatogenous retinal detachment seven years after cataract surgery in patients with high myopia. Ulster Med J 2009;78:99–104.
Reviglio VE, Kuo IC, Gramajo L, et al. Acute rhegmatogenous retinal detachment immediately following laser in situ keratomileusis. J Cataract Refract Surg 2007;33:536–539.
Morano MJ, Khan MA, Zhang Q, et al. Incidence and risk factors for retinal detachment and retinal tear after cataract surgery: IRIS® registry (intelligent research in Sight) analysis. Ophthalmol Sci 2023;3:100314.
Son HS, Chang DF, Li C, et al. Visual acuity outcomes and complications after intraocular lens exchange: an IRIS® registry (intelligent research in Sight) analysis. Ophthalmology 2023;131:403–411.
Carlà MM, Boselli F, Giannuzzi F, et al. Sutureless scleral fixation Carlevale IOL: a review on the novel designed lens. Int Ophthalmol 2023;43:2129–2138.

Date Created: 20240724 Date Completed: 20240724 Latest Revision: 20241025

20241025

10.1097/IAE.0000000000004139

39047127