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Refractive errors after sutureless intrascleral fixation of intraocular lens

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Abstract

Purpose

To determine the difference between the attempted and the achieved postoperative refractive error after sutureless intrascleral fixation of the haptics of an implanted intraocular lens (IOL).

Patients and methods

This was a retrospective study of the medical charts of patients who had undergone sutureless intrascleral fixation of an IOL. The IOLs were fixed by inserting the haptics into scleral tunnels with or without flanges. The differences between the attempted and achieved postoperative refractive error (spherical equivalent) were determined. The relationships between the surgical options and the differences of the refractive error and degree of astigmatism were also determined.

Results

Two hundred and twenty-three eyes were studied. There was a myopic shift of − 0.38 ± 1.13 diopters (D). The mean of the differences between the achieved postoperative and the attempted refractive error was 0.89 ± 0.79 D. The achieved refractive error was significantly correlated with the attempted refractive error (P < 0.001, R2 = 0.631). The surgical procedures selected were not significantly associated with the differences between the attempted and achieved refractive error. The size of sclerocorneal incision and presence of sutures were significantly associated with the final degree of astigmatism (P = 0.006 and 0.008, respectively).

Conclusions

The postoperative refractive error was significantly correlated with the attempted refractive error after intrascleral fixation of an IOL. The wound construction was associated with the postoperative degree of astigmatism.

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Acknowledgements

The authors thank Professor Emeritus Duco Hamasaki of the Bascom Palmer Eye Institute of the University of Miami for his critical discussion and editing of the final manuscript.

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Authors and Affiliations

  1. Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan

    Masato Kakisu, Takayuki Baba, Tomoaki Tatsumi, Takehito Iwase, Tomohiro Nizawa, Gen Miura & Shuichi Yamamoto

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  1. Masato Kakisu
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  2. Takayuki Baba
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  3. Tomoaki Tatsumi
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  4. Takehito Iwase
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  5. Tomohiro Nizawa
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  7. Shuichi Yamamoto
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Corresponding author

Correspondence to Takayuki Baba.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of Chiba University Graduate School of Medicine and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

TB: personal fees from Bayer, Kowa, Santen, Senju, Alcon, grants, and personal fees from Novartis, outside the submitted work. SY: grants and personal fees from HOYA, Senju, Pfizer, Santen, Alcon Japan, Alcon Pharma, Bayer, Kowa, personal fees from Nikon, Wakamoto, Chuo Sangyo, Daiichi Sankyo, Jamecs, Sun Contact Lens, Finedex, Novartis, Chugai, Abbvie, outside the submitted work. The following authors have no financial disclosures: MK, TT, TI, TN, GM.

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Kakisu, M., Baba, T., Tatsumi, T. et al. Refractive errors after sutureless intrascleral fixation of intraocular lens. Graefes Arch Clin Exp Ophthalmol 259, 3003–3009 (2021). https://doi.org/10.1007/s00417-021-05268-z

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  • DOI: https://doi.org/10.1007/s00417-021-05268-z

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