Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses
Abstract Background To compare the outcomes of sutured transscleral fixation and sutureless intrascleral fixation for the treatment of a dislocated intraocular lens (IOL). Methods Thirty-five eyes of 35 patients who required IOL repositioning surgery due to IOL dislocation were included in this retr...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-023-03020-1 |
| _version_ | 1797801536437354496 |
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| author | Yinglei Zhang Yuan Zong Xiangjia Zhu Yi Lu Chunhui Jiang |
| author_facet | Yinglei Zhang Yuan Zong Xiangjia Zhu Yi Lu Chunhui Jiang |
| author_sort | Yinglei Zhang |
| collection | DOAJ |
| description | Abstract Background To compare the outcomes of sutured transscleral fixation and sutureless intrascleral fixation for the treatment of a dislocated intraocular lens (IOL). Methods Thirty-five eyes of 35 patients who required IOL repositioning surgery due to IOL dislocation were included in this retrospective study. Sixteen eyes underwent two-point sutured transscleral fixation, eight eyes underwent one-point sutured transscleral fixation, and 11 eyes underwent sutureless intrascleral IOL fixation. The patients were followed for ≥ 12 months after repositioning surgery, and their postoperative outcomes were recorded and analyzed. Results The major cause of IOL dislocation was ocular blunt trauma (19/35, 54.3%). The mean corrected distance visual acuity (CDVA) improved significantly after IOL repositioning (P = 0.022). The mean postoperative change in endothelial cell density (ECD) was − 4.5%. There were no significant differences in the changes in CDVA or ECD among the three groups with different repositioning techniques (both P > 0.1). The mean vertical tilt of the IOLs in all enrolled patients was significantly greater than the horizontal value (P = 0.001). The vertical tilt was greater in the two-point scleral fixation group than that in the sutureless intrascleral fixation group (P = 0.048). The mean decentration values in the one-point scleral fixation group in the horizontal and vertical directions were greater than those in the other two groups (all P < 0.01). Conclusion All three IOL repositioning techniques resulted in favorable ocular prognosis. |
| first_indexed | 2024-03-13T04:51:58Z |
| format | Article |
| id | doaj.art-da94af09b62143ebbf47ba1937afc786 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-13T04:51:58Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-da94af09b62143ebbf47ba1937afc7862023-06-18T11:09:56ZengBMCBMC Ophthalmology1471-24152023-06-012311710.1186/s12886-023-03020-1Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lensesYinglei Zhang0Yuan Zong1Xiangjia Zhu2Yi Lu3Chunhui Jiang4Eye Institute, Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute, Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute, Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute, Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute, Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityAbstract Background To compare the outcomes of sutured transscleral fixation and sutureless intrascleral fixation for the treatment of a dislocated intraocular lens (IOL). Methods Thirty-five eyes of 35 patients who required IOL repositioning surgery due to IOL dislocation were included in this retrospective study. Sixteen eyes underwent two-point sutured transscleral fixation, eight eyes underwent one-point sutured transscleral fixation, and 11 eyes underwent sutureless intrascleral IOL fixation. The patients were followed for ≥ 12 months after repositioning surgery, and their postoperative outcomes were recorded and analyzed. Results The major cause of IOL dislocation was ocular blunt trauma (19/35, 54.3%). The mean corrected distance visual acuity (CDVA) improved significantly after IOL repositioning (P = 0.022). The mean postoperative change in endothelial cell density (ECD) was − 4.5%. There were no significant differences in the changes in CDVA or ECD among the three groups with different repositioning techniques (both P > 0.1). The mean vertical tilt of the IOLs in all enrolled patients was significantly greater than the horizontal value (P = 0.001). The vertical tilt was greater in the two-point scleral fixation group than that in the sutureless intrascleral fixation group (P = 0.048). The mean decentration values in the one-point scleral fixation group in the horizontal and vertical directions were greater than those in the other two groups (all P < 0.01). Conclusion All three IOL repositioning techniques resulted in favorable ocular prognosis.https://doi.org/10.1186/s12886-023-03020-1IOL repositioningSurgical prognosisTiltDecentration |
| spellingShingle | Yinglei Zhang Yuan Zong Xiangjia Zhu Yi Lu Chunhui Jiang Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses BMC Ophthalmology IOL repositioning Surgical prognosis Tilt Decentration |
| title | Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses |
| title_full | Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses |
| title_fullStr | Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses |
| title_full_unstemmed | Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses |
| title_short | Comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses |
| title_sort | comparison of sutureless intrascleral fixation and sutured scleral fixation for the treatment of dislocated intraocular lenses |
| topic | IOL repositioning Surgical prognosis Tilt Decentration |
| url | https://doi.org/10.1186/s12886-023-03020-1 |
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