June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Long-term outcomes of a surgical technique for scleral suture fixation of a posteriorly dislocated lens-bag complex without conjunctival opening (Hoffman pockets)
Author Affiliations & Notes
  • Konstantin Astafurov
    Ophthalmology, Rutgers—Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
  • Jonathan Prenner
    Ophthalmology, Rutgers—Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
  • Howard Fine
    Ophthalmology, Rutgers—Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
  • Matthew Wheatley
    Ophthalmology, Rutgers—Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
  • Footnotes
    Commercial Relationships   Konstantin Astafurov, None; Jonathan Prenner, None; Howard Fine, None; Matthew Wheatley, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 3668. doi:
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      Konstantin Astafurov, Jonathan Prenner, Howard Fine, Matthew Wheatley; Long-term outcomes of a surgical technique for scleral suture fixation of a posteriorly dislocated lens-bag complex without conjunctival opening (Hoffman pockets). Invest. Ophthalmol. Vis. Sci. 2021;62(8):3668.

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

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Abstract

Purpose : To present long-term outcomes of a surgical technique for rescuing and sclerally fixating a posteriorly dislocated lens-bag complex without the need for conjunctival incision.

Methods : A retrospective chart review of 17 patients (19 eyes) who underwent posterior chamber intraocular lens (IOL) rescue using Hoffman pocket technique was performed. Data were collected on patients with greater than 1 year follow up after surgery. Out of 19 surgical eyes, 6 had greater than 5 year follow up.

Results : The average follow up for all surgical eyes was 37 months (3.2 years). For all eyes with greater than 12 month follow up, the average preoperative vision was 20/343, and the final average vision was 20/46. In the group of surgical eyes with greater than 5 year follow up, the average follow up time was 69 months (5.8 years) with the average preoperative vision 20/305, and the final average vision 20/34.
Four out of 19 eyes had decentration of the sutured intraocular lens, 3 of which required additional surgical repair: two early – less than 6 months after the initial surgery, and one late – 5 years after the initial surgery. In one of those eyes the lens-bag complex was repositioned using the same surgical technique, and in two eyes an IOL exchange for anterior chamber IOL was performed.

Conclusions : Outcome data at greater than 1 year follow up support Hoffman pocket technique as a valuable surgical approach for the rescue of a dislocated lens-capsular bag complex. The rate of recurrent IOL malposition with this technique is relatively low, with most of those events occurring early after the surgery.

This is a 2021 ARVO Annual Meeting abstract.

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