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Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile
  1. M Ali Khan1,
  2. Omesh P Gupta1,
  3. Ryan G Smith1,
  4. Brandon D Ayres2,
  5. Irving M Raber2,
  6. Robert S Bailey3,
  7. Jason Hsu1,
  8. Marc J Spirn1
  1. 1Retina Service Wills Eye Hospital, Philadelphia, Pennsylvania, USA
  2. 2Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA
  3. 3Cataract and Primary Eye Care Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Omesh P Gupta, 840 Walnut Street, Suite 1020, Philadelphia, PA 19107, USA; ogupta{at}midatlanticretina.com

Abstract

Background/aims To report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture.

Methods Retrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alcon CZ70BD IOL using Gore-Tex suture. Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days.

Results 85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p<0.001). Mean follow-up was 325 days (median 264 days, range 90–996 days). There were no intraoperative complications noted. Postoperative complications included hypotony in eight patients (9.4%), ocular hypertension in six eyes (7%), vitreous haemorrhage in six eyes (7%), hyphema in two eyes (2%), serous choroidal detachment in two eyes (2%), cystoid macular oedema in two eyes (2%) and corneal oedema in one eye (1%). There were no cases of postoperative endophthalmitis, suture erosion/breakage, retinal detachment, suprachoroidal haemorrhage, uveitis–glaucoma–hyphema syndrome or persistent postoperative inflammation in the follow-up period.

Conclusions Ab externo scleral fixation of IOLs with Gore-Tex suture was well tolerated in all cases. No suture-related complications were encountered. This procedure led to improvement in visual acuity and was not associated with significant intraoperative or postoperative complications.

  • Lens and zonules
  • Posterior Chamber
  • Sclera and Episclera
  • Treatment Surgery

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