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Outcomes of a new suture technique for the treatment of dislocated intraocular lenses: locked loop on the haptic

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Abstract

Purpose

To evaluate surgical and refractive outcomes of a new sutured scleral fixation technique in the management of subluxated intraocular lenses (IOLs).

Methods

Nineteen eyes treated with the new scleral fixation technique were included. The mean corrected distance visual acuity (CDVA), postoperative refraction error, mean endothelial cell count (ECC), and complications were recorded. All patients were evaluated immediately postoperatively, at 1 and 7 days, and then at 1, 3, and 6 months.

Results

The mean duration of follow-up of the patients was 10 months (range, 6–15 months). The mean CDVA was 0.41 ± 0.1 logMAR (logarithm of minimum angle of resolution) preoperatively and was 0.08 ± 0.07 logMAR postoperatively. The mean astigmatism was − 2.22 ± 1.86 D preoperative and was − 0.86 ± 0.58 D postoperative. The mean preoperative and postoperative ECC was 2455 ± 288 and 2352 ± 288, respectively. One patient (5.26%) experienced vitreous hemorrhage, and two (10.52%) experienced intraocular pressure elevation. IOL tilt and decentralization, conjunctival erosion, and cystoid macular edema were not observed in any eyes during follow-up.

Conclusion

This new IOL repositioning technique can be applied in a short surgical time and provides a stable IOL centration on long-term follow-up.

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Acknowledgements

This surgical technique was awarded as the best surgical video at the Turkish 2020 National Ophthalmology Congress and 4th Live Surgery Symposium meeting (9–13 December 2020).

Funding

No funding received.

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Authors and Affiliations

  1. Department of Ophthalmology, Batigoz Eye Health Center, Izmir, Turkey

    Ugur Unsal

  2. Department of Ophthalmology, Manisa City Hospital, Izmir, Turkey

    Berkay Akmaz

  3. Department of Ophthalmology, Kayseri City Training and Research Hospital, Health Science University, Kayseri, Turkey

    Deniz Kilic

Authors
  1. Ugur Unsal
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  2. Berkay Akmaz
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  3. Deniz Kilic
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Contributions

UU and BA conceived the study and its design, acquired the data, drafted the article, critically revised the paper for important intellectual content, and obtained funding. DK conceived the study and its design; acquired and interpreted the data; and critically revised the manuscript for important intellectual content. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Deniz Kilic.

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The authors declare that they have no conflict of interest.

Consent to participate

The Ataturk Educating and Research Hospital Institutional Review Board approved the study, and each recruited patient signed an informed consent form to participate.

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Unsal, U., Akmaz, B. & Kilic, D. Outcomes of a new suture technique for the treatment of dislocated intraocular lenses: locked loop on the haptic. Int Ophthalmol 41, 3663–3673 (2021). https://doi.org/10.1007/s10792-021-01927-6

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  • DOI: https://doi.org/10.1007/s10792-021-01927-6

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