Modified Technique for Sutured Intraocular Lens
Year: 2025
Type: article
Study design: Case Report
Abstract: PURPOSE: To describe a novel scleral fixation technique for the Akreos AO60 intraocular lens using Gore-Tex sutures buried within the sclera to minimize long-term exposure-related complications and improve cosmetic outcomes. METHODS: Four eyes of four patients underwent scleral fixation of the Akreos AO60 lens using the modified ab externo approach. Outcomes included best-corrected visual acuity, intraocular lens centration, and suture-related complications. RESULTS: Preoperative best-corrected visual acuity ranged from 20/60 to 20/300. Postoperative best-corrected visual acuity ranged from 20/30 to 20/90 at final follow-up. All IOLs remained well-centered with no visible suture on external exam. One patient developed transient postoperative hypotony and a macula-off retinal detachment 1 month after lens fixation, which was successfully repaired with pars plana vitrectomy. No patients required additional surgery related to the intraocular lens or suture material. CONCLUSION: The described technique allows secure scleral fixation of the Akreos AO60 intraocular lens while minimizing the risk of Gore-Tex suture exposure. This modification may improve long-term outcomes and cosmesis.
Source: Retina
Authors: Rui Wang, Palak R. Patel, Prithvi R. Bomdica, Yi-Chia Chen, Bradley T. Smith
Institution: Retina Institute
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4414598372