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Long-term outcome of scleral-sutured posterior chamber intraocular lens: a case series.
Bausili Portabella, Maria Montserrat; Nadal, Jeroni; Alvarez de Toledo, Juan; Fideliz de la Paz, María; Barraquer, Rafael Ignacio.
Afiliación
  • Bausili Portabella MM; Institut Universitari Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain montserrat.bausili@gmail.com.
  • Nadal J; Departament de Cirurgia, Universitat Autonoma de Barcelona, Barcelona, Catalunya, Spain.
  • Alvarez de Toledo J; Centro de Oftalmología Barraquer, Barcelona, Spain.
  • Fideliz de la Paz M; Institut Universitari Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain.
  • Barraquer RI; Centro de Oftalmología Barraquer, Barcelona, Spain.
Br J Ophthalmol ; 104(5): 712-717, 2020 05.
Article en En | MEDLINE | ID: mdl-31434648
PURPOSE: Purpose: To evaluate the long-term stability of scleral-sutured intraocular lenses (IOLs) and analyse the possible causes of suture breakage. SETTING: Barraquer Institute in Barcelona, Spain. DESIGN: Retrospective study of consecutive cases. METHODS: Study of patients with scleral-sutured IOL with aphakia, subluxated or luxated IOL were included. Follow-up was longer than 6 months and patients over 18 years of age. Preoperative data (best-corrected visual acuity testing (BCVA), intraocular pressure (IOP), axial length and slit-lamp examination), intraoperative data (characteristics of the scleral flaps, suture material (Prolene or Mersilene) and scleral-sutured IOL) and postoperative data (BCVA, IOP, slit-lamp examination and complications) through 10 years were collected for analysis. RESULTS: 345 consecutive cases of scleral-sutured IOL were included. 25 eyes underwent a second operation after a prior sutured IOL due to suture breakage (mean 40.2±39.6 months after the first surgery) and three of them needed a third surgery. Younger adults (less than 40-year old), the use of a combination of Prolene and Mersilene sutures to perform the surgery and suturing only one flap were found to have higher risk of suture breakage after a follow-up of 10 years. The probability of surviving of the scleral-sutured IOL at 10 years after surgery was 0.79. CONCLUSIONS: Scleral-sutured posterior chamber IOL in eyes with a lack of capsular support is a safe and effective procedure with a low rate of complication and stable visual acuity. Further studies with special focus on young adults or myopic eyes are required to demonstrate long-term safety in those special cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Afaquia Poscatarata / Esclerótica / Suturas / Agudeza Visual / Técnicas de Sutura / Implantación de Lentes Intraoculares / Lentes Intraoculares Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Ophthalmol Año: 2020 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Afaquia Poscatarata / Esclerótica / Suturas / Agudeza Visual / Técnicas de Sutura / Implantación de Lentes Intraoculares / Lentes Intraoculares Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Ophthalmol Año: 2020 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido