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Bryant Kung Yu, Kirk Packo, Mathew W MacCumber; Outcomes of Dislocated Intraocular Lens Repair by McCannel Suture. Invest. Ophthalmol. Vis. Sci. 2020;61(7):589.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the outcome of intraocular lens (IOL) dislocation repair by McCannel suture iris fixation.
A total of 15 eyes had IOL dislocation repair by McCannel 10-0 polypropylene suture iris fixation from August, 2005 to May, 2019 at Illinois Retina Associates (McCannel MA, Ophthalmic Surg 1976;7:98-103). The main outcome measures were postoperative best-corrected visual acuity (BCVA), the change from preoperative visual acuity and complications observed until the last follow-up date available. Cases of in-the-bag IOL dislocation were included.
The 15 eyes had a mean follow up of 9.7 ± 8.3 months and an improvement from preoperative (20/101 ± 196) to postoperative BCVA values (20/62 ± 97, n=15, p = 0.08). Within a four to twenty month follow up period, there was an improvement from preoperative (20/124 ± 227) to postoperative BCVA values (20/73 ± 112, n=11, p=0.09). The majority of eyes (n=11) did not have any postoperative complications. One eye had post-operative vitreous hemorrhage which spontaneously resolved. Two eyes had cystoid macular edema, both resolving after topical therapy. One eye had recurrent subluxation requiring IOL removal and subsequent scleral fixated IOL implantation.
IOL dislocation repair by McCannel iris suture is a relatively fast and reasonable surgical approach compared to other surgical techniques. Future studies investigating a larger number of eyes is warranted.
This is a 2020 ARVO Annual Meeting abstract.
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