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Short-term outcomes of a modified technique for small-incision scleral-fixated intraocular lens implantation using Gore-Tex sutures

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Abstract

Purpose

To report the short-term outcomes of a modified small-incision technique for implantation of scleral-fixated intraocular lenses (IOLs) using Gore-Tex sutures.

Methods

A retrospective, interventional, consecutive case series was conducted. From June 2019 to February 2020, 10 patients underwent small-incision scleral-fixated IOL implantation using Gore-Tex sutures at a tertiary referral center. Visual and anatomical outcomes and complications were recorded with a minimum follow-up period of 3 months. Surgically induced astigmatism (SIA) and IOL-induced astigmatism were measured.

Results

The mean follow-up duration (range) was 396 (240–573) days. Best-corrected visual acuity improved significantly from logarithm of the minimal angle of resolution (logMAR) 0.88 ± 0.65 (Snellen equivalent: 20/153) preoperation to logMAR = 0.30 ± 0.51 (Snellen equivalent: 20/40) at final follow-up (P = .008). The estimated SIA and IOL-induced astigmatism were 0.61 diopters (D) ± 0.49D and 0.40D ± 0.36D, respectively. No intraoperative complications occurred. The postoperative complications, which included ocular hypertension (20%), cystoid macular edema (30%), and vitreous hemorrhage (20%), were transient and resolved with topical medication.

Conclusions

The modified small-incision technique for implantation of scleral-fixated IOLs using Gore-Tex sutures was well tolerated in all patients, with favorable postoperative visual outcomes and minimal SIA and IOL-induced astigmatism.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, National Taiwan University Hospital, No 7, Chung-Shan S. Rd., Taipei, 100, Taiwan

    Ching-Wen Huang, Chia-Ying Tsai & Tso-Ting Lai

  2. Department of Ophthalmology, Fu-Jen Catholic University Hospital, Fu-Jen Catholic Univerisity, New Taipei City, Taiwan

    Chia-Ying Tsai

  3. School of Medicine, College of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan

    Chia-Ying Tsai

  4. Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan

    Tso-Ting Lai

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Contributions

Study conception and design: C-YT, T-TL. Data acquisition: C-WH, C-YT, T-TL. Analysis and interpretation of data: C-WH, C-YT, T-TL. Drafting or revising the article: C-WH, C-YT, T-TL. Final approval: C-WH, C-YT, T-TL. Overall responsibility: T-TL.

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Correspondence to Tso-Ting Lai.

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The study adhered to the tenets of the Declaration of Helsinki and was approved by the National Taiwan University Hospital Research Ethics Committee.

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Huang, CW., Tsai, CY. & Lai, TT. Short-term outcomes of a modified technique for small-incision scleral-fixated intraocular lens implantation using Gore-Tex sutures. Graefes Arch Clin Exp Ophthalmol 259, 1889–1896 (2021). https://doi.org/10.1007/s00417-021-05201-4

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  • DOI: https://doi.org/10.1007/s00417-021-05201-4

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