Clinical outcomes of combined pars plana vitrectomy and scleral fixation of the intraocular lens with a suspension bridge method in eyes with aphakia or insufficient capsular support

Purpose To describe a modified technique of scleral fixation for intraocular lens (IOL) implantation and report the clinical outcomes of combined pars plana vitrectomy and scleral IOL fixation using the suspension bridge method. Methods This retrospective case series included 57 eyes (56 patients) o...

Full description

Saved in:
Bibliographic Details
Published in:Acta ophthalmologica (Oxford, England) England), 2021-11, Vol.99 (7), p.e1006-e1012
Main Authors: Choi, Hun Jin, Kwon, Oh Woong, Byeon, Suk Ho, Song, Ji Hun
Format: Article
Language:English
Subjects:
Acuity
Adult
Aged
Aphakia - surgery
Clinical outcomes
Cornea
Dehiscence
Edema
Eye
Female
Follow-Up Studies
Humans
intraocular lens implantation
Lens Implantation, Intraocular - methods
Male
Middle Aged
Original
pars plana vitrectomy
Reoperation
Retrospective Studies
Sclera - surgery
scleral fixation
suspension bridge method
Suture Techniques
Visual Acuity
Vitrectomy - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To describe a modified technique of scleral fixation for intraocular lens (IOL) implantation and report the clinical outcomes of combined pars plana vitrectomy and scleral IOL fixation using the suspension bridge method. Methods This retrospective case series included 57 eyes (56 patients) of aphakia or phakic and pseudophakic eyes with insufficient capsular support that underwent IOL implantation or dislocated IOL repositioning with scleral fixation using the ‘suspension bridge’ method by a single surgeon between 1 July 2010 and 1 March 2019. Preoperative status, changes in visual acuity, refractive outcomes as spherical equivalent and related complications were assessed with a minimum follow‐up of 3 months. Results The mean follow‐up period was 25.5 ± 25.4 months. Preoperative visual acuity (logarithm of the minimum angle of resolution) was 1.32 ± 0.68 (20/400 Snellen), and it significantly improved to 0.80 ± 0.53 (20/125), 0.59 ± 0.56 (20/80) and 0.24 ± 0.37 (20/35) at 1 week, 1 month and 3 months, respectively (p 
ISSN:1755-375X
1755-3768
DOI:10.1111/aos.14758