scholarly journals Iris suture fixation of out‐of‐the‐bag dislocated three‐piece intraocular lenses

2019 ◽  
Vol 97 (6) ◽  
pp. 583-588 ◽  
Author(s):  
Laura Armonaite ◽  
Stefan Löfgren ◽  
Anders Behndig
Keyword(s):  
Intraocular Lenses ◽  
Suture Fixation

Endoscope-assisted transscleral suture fixation of intraocular lenses

1996 ◽  
Vol 22 (7) ◽  
pp. 879-881 ◽  
Author(s):  
Ignasi Jürgens ◽  
Juan Lillo ◽  
José A. Buil ◽  
Miguel Castilla
Keyword(s):  
Intraocular Lenses ◽  
Suture Fixation ◽  
Transscleral Suture Fixation

scholarly journals Surgical Outcome of Refixation versus Exchange of Dislocated Intraocular Lens: A Retrospective Cohort Study

2020 ◽  
Vol 9 (12) ◽  
pp. 3868
Author(s):  
Young In Shin ◽  
Un Chul Park
Keyword(s):  
Group Treatment ◽  
Intraocular Lenses ◽  
Suture Fixation ◽  
Spherical Equivalent ◽  
Exchange Group ◽  
Corneal Endothelial Cell Density ◽  
Pars Plana ◽  
Transscleral Suture Fixation ◽  
Iol Dislocation

We compared the surgical outcomes and complications of refixation vs. exchange of dislocated intraocular lenses (IOLs) in patients who underwent transscleral suture fixation combined with pars plana vitrectomy for the treatment of IOL dislocation. A total of 83 eyes (n = 83 patients) with postoperative follow-up of ≥6 months were evaluated: 40 received refixation of dislocated IOL (refixation group) while 43 received IOL exchange (exchange group) treatment. Treatment outcomes, including best-corrected visual acuity (BCVA), spherical equivalent, corneal cylinder, intraocular pressure (IOP), central macular thickness (CMT), and corneal endothelial cell density (ECD), and postoperative complications were retrospectively reviewed. BCVA improvement at 6 months after surgery was comparable between the groups. Postoperative decrease in corneal ECD was significantly greater in the exchange group than in the refixation group, but no significant differences were found in spherical equivalent, corneal cylinder, IOP, or CMT changes. The exchange group experienced significantly more frequent postoperative vitreoretinal complications, such as retinal detachment, choroidal effusion, cystoid macular edema, and secondary epiretinal membrane, than the refixation group. Without any reason to extract the dislocated IOL, reuse of the dislocated IOL would be a better surgical option for transscleral suture fixation to protect corneal endothelial cells and prevent postoperative vitreoretinal complications.

Pars plana vitrectomy and iris suture fixation of posteriorly dislocated intraocular lenses

2015 ◽  
Vol 41 (7) ◽  
pp. 1454-1460 ◽  
Author(s):  
Uri Soiberman ◽  
Peter L. Gehlbach ◽  
Peter Murakami ◽  
Walter J. Stark
Keyword(s):  
Pars Plana Vitrectomy ◽  
Intraocular Lenses ◽  
Suture Fixation ◽  
Pars Plana

scholarly journals Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Ahmad M. Mansour ◽  
Shady T. Awwad
Keyword(s):  
Intraocular Lens ◽  
Anterior Segment ◽  
Inflammatory Cells ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Suture Fixation ◽  
Anterior Compartment ◽  
Posterior Chamber Intraocular Lens ◽  
Iris Fixation ◽  
Gain Access

We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Also certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and hence the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate.

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