Comparison of complications of intrascleral fixation according to the extent of vitrectomy

Intraocular lens (IOL) fixation is performed after intraoperative anterior or total vitrectomy. This study aimed to compare the intraoperative and postoperative complications of these two techniques. This retrospective study included 235 eyes that underwent intrascleral fixation surgery at our hospi...

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Bibliographic Details
Published in:BMC ophthalmology 2024-04, Vol.24 (1), p.154-154, Article 154
Main Authors: Yamada, Miho, Nishimura, Eiichi, Watanabe, Sayako, Yoshino, Masanori, Tokunaga, Yoshiro, Sugiyama, Natsuko, Soda, Mitsutaka
Format: Article
Language:English
Subjects:
Acuity
Comparative analysis
Complications
Consent
Eye
Humans
Intraocular lens
Intraocular lenses
Intrascleral fixation
Lens Implantation, Intraocular - methods
Lenses, Intraocular
Normal distribution
Pay-per-view television
Postoperative
Postoperative Complications - epidemiology
Postoperative Complications - surgery
Retrospective Studies
Sclera - surgery
Surgery
Visual Acuity
Vitrectomy
Vitrectomy - adverse effects
Vitrectomy - methods
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Summary:Intraocular lens (IOL) fixation is performed after intraoperative anterior or total vitrectomy. This study aimed to compare the intraoperative and postoperative complications of these two techniques. This retrospective study included 235 eyes that underwent intrascleral fixation surgery at our hospital between July 2014 and January 2021. The eyes were classified into the anterior vitrectomy group (A-vit group; 134 eyes) and the pars plana vitrectomy group (PPV group; 101 eyes). The age, preoperative and postoperative best-corrected visual acuity, observation period, preoperative and postoperative intraocular pressure, and the incidence of intraoperative and postoperative complications were assessed. Intrascleral fixation was performed more frequently in the PPV group, and a significant difference was observed between the eyes with a history of vitrectomy and eyes with scleral buckles (p = 0.00041). In terms of the incidence of postoperative complications following intrascleral fixation, the incidence of low intraocular pressure postoperative was higher in the PPV group than that in the A-vit group, and a significant difference was observed between the two groups (p = 0.01). The visual outcome and complications following intrascleral fixation did not differ according to the extent of vitreous excision.
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-024-03430-9