Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL)
Purpose: To report results of a novel technique for sutureless, glueless intrascleral fixation of three-piece posterior chamber intraocular lens (IOL) using 26-G needle for management of aphakia. Methods: In this prospective series, 30 eyes of 20 patients with aphakia, subluxated IOL, or crystalline...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=1;spage=64;epage=68;aulast=Walia |
| _version_ | 1818271914512089088 |
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| author | Shweta Walia Santosh Kashyap V Bhaisare P Rawat N Kori |
| author_facet | Shweta Walia Santosh Kashyap V Bhaisare P Rawat N Kori |
| author_sort | Shweta Walia |
| collection | DOAJ |
| description | Purpose: To report results of a novel technique for sutureless, glueless intrascleral fixation of three-piece posterior chamber intraocular lens (IOL) using 26-G needle for management of aphakia. Methods: In this prospective series, 30 eyes of 20 patients with aphakia, subluxated IOL, or crystalline lens were included. 26-G-needle-guided intrascleral fixation of three-piece posterior chamber IOL was performed according to the described technique. The patients were evaluated on day 2, 1 week, 6 weeks, and 3 months postoperatively for change in best-corrected visual acuity (BCVA), intraocular pressure (IOP), IOL centration, and any other complications. The postoperative tilt of the IOL was indirectly measured by determining the lenticular astigmatism which in turn was calculated by the difference between net corneal astigmatism and refractive astigmatism. Paired t-test was used to determine the significance of any association between the preoperative and postoperative BCVA and IOP. P < 0.05 was considered significant. Results: Of 30 eyes (n = 30 patients), 18 were surgical aphakia, 6 traumatic aphakia, 5 subluxated IOL, and 1 ectopia lentis (Marfan syndrome). The mean preoperative BCVA was 1.37 ± 0.37 (logMAR) and postoperative BCVA at 3 months was 0.37 ± 0.29 (logMAR). A significant improvement in the mean BCVA (P < 0.05) was observed after the procedure. The mean IOP preoperatively was 13.33 ± 4.18 and postoperatively at 3 months was 12.82 ± 3.97 (P > 0.05), which was not significant. None of the eyes developed any intraoperative and postoperative complications. The IOLs had appropriate centration and stability. Conclusion: We have developed this new technique for intrascleral IOL fixation which is quite simple, cost-effective, minimally invasive, neither requires glue nor suture and gives consistent outcome. |
| first_indexed | 2024-12-12T21:33:45Z |
| format | Article |
| id | doaj.art-9d1995ca54564f52a4b87bf79e321298 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-12T21:33:45Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-9d1995ca54564f52a4b87bf79e3212982022-12-22T00:11:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892019-01-01671646810.4103/ijo.IJO_447_18Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL)Shweta WaliaSantosh KashyapV BhaisareP RawatN KoriPurpose: To report results of a novel technique for sutureless, glueless intrascleral fixation of three-piece posterior chamber intraocular lens (IOL) using 26-G needle for management of aphakia. Methods: In this prospective series, 30 eyes of 20 patients with aphakia, subluxated IOL, or crystalline lens were included. 26-G-needle-guided intrascleral fixation of three-piece posterior chamber IOL was performed according to the described technique. The patients were evaluated on day 2, 1 week, 6 weeks, and 3 months postoperatively for change in best-corrected visual acuity (BCVA), intraocular pressure (IOP), IOL centration, and any other complications. The postoperative tilt of the IOL was indirectly measured by determining the lenticular astigmatism which in turn was calculated by the difference between net corneal astigmatism and refractive astigmatism. Paired t-test was used to determine the significance of any association between the preoperative and postoperative BCVA and IOP. P < 0.05 was considered significant. Results: Of 30 eyes (n = 30 patients), 18 were surgical aphakia, 6 traumatic aphakia, 5 subluxated IOL, and 1 ectopia lentis (Marfan syndrome). The mean preoperative BCVA was 1.37 ± 0.37 (logMAR) and postoperative BCVA at 3 months was 0.37 ± 0.29 (logMAR). A significant improvement in the mean BCVA (P < 0.05) was observed after the procedure. The mean IOP preoperatively was 13.33 ± 4.18 and postoperatively at 3 months was 12.82 ± 3.97 (P > 0.05), which was not significant. None of the eyes developed any intraoperative and postoperative complications. The IOLs had appropriate centration and stability. Conclusion: We have developed this new technique for intrascleral IOL fixation which is quite simple, cost-effective, minimally invasive, neither requires glue nor suture and gives consistent outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=1;spage=64;epage=68;aulast=WaliaAphakiagluelessintrascleral fixation of three-piece posterior chamber intraocular lens26-G needlesutureless |
| spellingShingle | Shweta Walia Santosh Kashyap V Bhaisare P Rawat N Kori Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL) Indian Journal of Ophthalmology Aphakia glueless intrascleral fixation of three-piece posterior chamber intraocular lens 26-G needle sutureless |
| title | Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL) |
| title_full | Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL) |
| title_fullStr | Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL) |
| title_full_unstemmed | Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL) |
| title_short | Novel technique of sutureless glueless scleral fixated intraocular lens (SFIOL) |
| title_sort | novel technique of sutureless glueless scleral fixated intraocular lens sfiol |
| topic | Aphakia glueless intrascleral fixation of three-piece posterior chamber intraocular lens 26-G needle sutureless |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=1;spage=64;epage=68;aulast=Walia |
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