July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Scleral fixation of posterior chamber intraocular lenses using Gore-Tex suture: clinical outcomes from a single-institution case series
Author Affiliations & Notes
  • Andrew M. Williams
    Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
  • Benjamin Botsford
    Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
  • Ian Conner
    Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
  • Andrew W Eller
    Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
  • Joseph Martel
    Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
  • Footnotes
    Commercial Relationships   Andrew Williams, None; Benjamin Botsford, None; Ian Conner, None; Andrew Eller, None; Joseph Martel, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 875. doi:
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      Andrew M. Williams, Benjamin Botsford, Ian Conner, Andrew W Eller, Joseph Martel; Scleral fixation of posterior chamber intraocular lenses using Gore-Tex suture: clinical outcomes from a single-institution case series. Invest. Ophthalmol. Vis. Sci. 2018;59(9):875.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To examine the clinical outcomes of Gore-Tex sutured scleral-fixation of intraocular lenses from 2014 to 2017 at our institution.

Methods : Retrospective chart review of patients who underwent ab externo scleral fixation of a Bausch and Lomb enVista MX60, Bausch and Lomb Akreos AO60, or Alcon CZ70BD lens with Gore-Tex suture. Change in visual acuity and intraoperative and postoperative complications were assessed.

Results : Seventy eyes of 70 patients were included with a mean follow-up interval of 209 days (range of 8 to 795 days). The mean best-corrected visual acuity improved from 20/438 preoperatively to 20/85 postoperatively (p<0.001). Indications included a dislocated intraocular lens (n=37), subluxation of crystalline lens (10), and aphakia without capsular support (23). Bausch and Lomb Akreos AO60 intraocular lens was implanted in 44 eyes, Bausch and Lomb enVista MX60 in 18 eyes, and Alcon CZ70BD in 8 eyes. Eight cases underwent concurrent glaucoma drainage device implantation. One intraoperative complication was recorded, in which a sutured intraocular lens was posteriorly displaced, requiring retrieval and replacement with another sutured intraocular lens. Postoperative complications included temporary hypotony in six eyes (8.6%), temporary ocular hypertension in five eyes (7.1%), cystoid macular edema in four eyes (5.7%), corneal decompensation in three eyes (4.3%), temporary corneal edema in one eye (1.4%), and intraocular lens dislocation requiring exchange in one case (1.4%). There were no cases of suture breakage or erosion, postoperative endophthalmitis, hyphema, vitreous hemorrhage, or retinal detachment.

Conclusions : The use of Gore-Tex suture to secure ab externo scleral fixation of posterior chamber intraocular lens in combination with pars plana vitrectomy or concurrent glaucoma procedure was well tolerated at a mean follow-up interval of 209 days. There were no suture-related complications.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

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