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AILEE LAHAM, Joseph N Martel, Ian Conner, Edward Chay; Outcomes in Scleral Fixated Sutured Intraocular Lenses. Invest. Ophthalmol. Vis. Sci. 2017;58(8):1161.
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To report and compare the clinical outcomes and safety profiles in patients undergoing scleral fixation of the Bausch and Lomb Akreos AO60 and MX60 Envista lenses using Gore-Tex suture.
Retrospective interventional case series. 28 eyes total of 28 patients, 14 whom received the Akreos AO60 lens with complete pars plana vitrectomy versus 14 patients whom received the MX60 Envista lens. All cases were performed via small incision with Gore-Tex suture in order to suspend and secure the lens in proper position. 10 eyes in the MX60 group underwent an additional glaucoma procedure. Outcome measures include change in visual acuity, intraocular pressure, postoperative lens centration, and postoperative complications.
14 eyes of 14 patients received the Akreos AO60 lens while 14 received the MX60 Envista lens. From pre operative evaluation to date of last known follow up, mean visual acuity improvement in the A060 group was 0.803 (logMAR) and 0.367 in the MX60 group. Mean follow up time was 75 days in the AO60 group and 282 in the MX60 group. No intraoperative complications occurred in either group. Post operative complications in the AO60 group included hypotony in 3 patients (1 developed choroidal hemorrhage requiring subsequent drainage) and ocular hypertension in 3 patients. Cystoid macular edema occurred in 2 patients, 1 in each group. 1 case of lens decentration occurred in the AO60 group, while none occurred in the mx60 group. There were no cases of postoperative endophthalmitis, suture erosion/breakage, retinal detachment, uveitis-glaucoma-hyphema syndrome, persistent postoperative inflammation or lens opacification in the follow-up period.
Scleral fixation of AO60 and MX60 intraocular lenses with Gore-Tex suture is a safe well tolerated procedure. Post operative complications were generally self limited and severe complications are rare. No short-term complications occurred from using Gore-Tex suture. As IOL fixation techniques evolve and more long-term outcomes data become available, it will help guide us in choosing the most appropriate intervention for our patients.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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