Abstract
Purpose :
To report the clinical outcomes and safety profile of scleral fixated AKREOS AO60 intraocular lens (IOL) (Bausch and Lomb) using Gore-Tex suture in a tertiary hospital (CHUM Centre Hospitalier de l'Universite de Montreal and HMR Hopital Maisonneuve-Rosemont).
Methods :
Retrospective, interventional study of consecutive patients undergoing ab externo scleral fixation of an Akreos AO60 using Gore-Tex suture at the CHUM or HMR between January 2015 and September 2017. Primary outcome measure was change in visual acuity. We also evaluated the occurrence of intraoperative and postoperative complications with a minimum follow-up of 30 days.
Results :
Fifty six eyes of 54 patients aged between 24 and 93 years old were included in the study. Mean follow up was 6.6 months (range 1-33 months). In our study, 50 % of patients had final visual acuity of 20/60 or better. There were no intraoperative complications noted. Postoperative complications included hypotony (28.1%), ocular hypertension (26.3%), vitreous haemorrhage (14.0%), hyphema (3.5%), serous choroidal detachment (5.3%), cystoid macular oedema (14.0%), corneal edema (54.4%), corneal erosion (8.8%), suture erosion/breakage (1.6%), suprachoroidal haemorrhage (3.5%), uveitis-glaucoma-hyphema syndrome (1.8%), persistent postoperative inflammation (3.5%). There was no cases of postoperative endophthalmitis or retinal detachment in the follow-up period. Most complications were transitory and resolved within a period of two weeks. Only one patient had persistent macular edema (>2 weeks), and one patient had persistent hypotony (> 2 weeks) which led to hypotony maculopathy. One patient (1 eye) required a second surgery for resuturing the IOL after inadvertent cutting of Gore-Tex suture; and one patient required a second surgery for vitreous hemorrhage.
Conclusions :
Scleral fixated AKREOS AO60 IOL using Gore-Tex suture led to improvement in visual acuity and was well tolerated in most cases. Complications were mostly transitory and did not affect final visual outcomes.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.