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Modified Technique for Scleral‐Sutured Fixation with the Double Knots Technique for Posterior Chamber Intraocular Lens: Short‐Term Observation

Year: 2021
Type: article
Study design: Observational Study
Abstract: Purpose . To evaluate the short‐term safety and efficacy of a novel approach of utilizing the 9‐0 looped polypropylene suture with double knots buried into the scleral groove and the scleral tunnel to minimize the risk of the suture erosion and suture knot exposure. Design . Clinical‐based retrospective study. Methods . Records of consecutive patients who had anterior vitrectomy and scleral‐fixated posterior chamber intraocular lens (IOL) implantation between July 2018 and April 2020 with a minimum follow‐up of 3 months were reviewed. Results . This study enrolled a total of 21 eyes from 20 patients (15 male). These patients had a mean age of 58.52 ± 8.55 years and were followed for an average of 1.08 ± 0.58 years postoperatively. Best‐corrected visual acuity (BCVA) improved from a preoperative mean of 0.43 ± 0.41 logMAR to a significantly higher mean 3‐month postoperative value of 0.09 ± 0.21 logMAR ( Z = ‐3.35, p < 0.01). There were no statistical differences between the preoperative and postoperative corneal endothelial cell density ( p = 0.71). The postoperative complications included transient increased intraocular pressure in 5 eyes (24%). No other complications were detected during the follow‐up. Conclusions . The modified technique proposed is a safe, effective, and reliable approach resulting in good visual outcomes. Our procedure might have the potential benefit to avoid suture‐related complications in scleral‐fixated IOL implantation. Trial registration . Retrospective case series study, not applicable.
DOI: 10.1155/2021/6697230
Institution: Hebei Eye Hospital
Language: English
Subfield: Ophthalmology
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,040
OpenAlex ID: W3134477611
FWCI: 1.268
Cites: 30
Cited by: 8
Related to: 10