Management of posteriorly dislocated lenses: Outcomes of combined posterior vitrectomy and modified transscleral suture fixation technique

Session Details

Session Title: Free Paper Session 28: Vitreoretinal Surgery VII

Session Date/Time: Sunday 10/09/2017 | 12:00-13:30

Paper Time: 12:42

Venue: Room 116

First Author: : A.Mete TURKEY

Co Author(s): :    S. Kimyon   O. Saygili   K. Gungor                       

Abstract Details

Purpose:

To evaluate visual outcomes and complications of combined posterior vitrectomy and scleral fixated intraocular lens (SFIOL) implantation using a modified transscleral suture fixation technique in eyes with posteriorly dislocated lenses and inadequate capsular support.

Setting:

Gaziantep University Hospital, Ophthalmology Department, Gaziantep, Turkey

Methods:

We analyzed retrospectively 42 patients who underwent combined posteior vitrectomy and SFIOL implantation using a modified suture fixation technique. This scleral fixation technique didn’t require to create a scleral flep or tunnel. We buried the knot directly into the scleral opening which was formed by curved-needle of the PC-9 closed loop suture and slightly enlarged by the tip of a 20-gauge blade. Visual outcomes and complications were evaluated. A video will be demonstrated during the presentation.

Results:

Forty-two eyes of 42 patients were enrolled for analyzes. Mean duration of follow-up was 23.8 months (range 18-33 months). Best corrected visual acuity (BCVA) improved in 35 (83.3%) eyes, 5 (11.9%) eyes showed no change, and 2 (4,7%) eyes had worsening of BCVA. Mean BCVA increased significiantly after surgical procedure (p<0.001). Four (%9.5) eyes developed postoperative complications.

Conclusions:

This combined modified scleral fixation technique and posterior vitrectomy surgery appears to display a comparable effectiveness and safety compared to existing combined techniques.

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