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Comparison of three techniques for simultaneous intraocular lens implantation in subluxated cataract surgery: Transconjunctival intrascleral, Z-suture knotless transscleral, and Cionni capsular tension ring assisted

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Abstract

Purpose

To evaluate and compare the clinical outcomes of three different methods of intraocular lens (IOL) implantation in the surgery of subluxated cataracts.

Methods

In this retrospective, comparative, clinical interventional study, the medical records of patients who underwent IOL implantation with sutureless 27-gauge needle-assisted transconjunctival intrascleral (Group 1), Z-suture knotless transscleral (Group 2), and Cionni capsular tension ring (Cionni-CTR) assisted (Group 3) simultaneously with subluxated cataract extraction between June 2010 and June 2022 were evaluated. Demographic characteristics, follow-up times, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical and cylindrical refractive values, and spherical equivalent (SE) values of three groups were compared. Intraoperative and postoperative complications were recorded.

Results

There were 20 eyes in Group 1, 35 eyes in Group 2, and 40 eyes in Group 3. In all groups, statistically significant improvement was observed in postoperative UDVA and CDVA compared to preoperative values (each p < 0.05). There was no statistical difference between the groups in postoperative UDVA and CDVA values. (p = 0.130, p = 0.167 respectively). No significant difference was observed between the groups in terms of postoperative spherical, cylindrical, and SE values (each p > 0.05).

Conclusion

The study suggests that three different IOL implantation techniques for simultaneous IOL implantation in subluxated cataract surgery have similar effects on visual and refractive outcomes.

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References

  1. Chee SP, Ti SE, Chan NS (2021) Management of the subluxated crystalline lens: a review. Clin Exp Ophthalmol 49(9):1091–1101

    Article  PubMed  Google Scholar 

  2. Price FW Jr et al (2005) Interim results of the United States investigational device study of the Ophtec capsular tension ring. Ophthalmology 112(3):460–465

    Article  PubMed  Google Scholar 

  3. Hoffman RS et al (2013) Management of the subluxated crystalline lens. J Cataract Refract Surg 39(12):1904–1915

    Article  PubMed  Google Scholar 

  4. Wang R et al (2014) Multiple methods of surgical treatment combined with primary IOL implantation on traumatic lens subluxation/dislocation in patients with secondary glaucoma. Int J Ophthalmol 7(2):264–272

    PubMed  PubMed Central  Google Scholar 

  5. Erdogan G et al (2022) Outcomes of three surgical approaches for managing ectopia lentis in Marfan syndrome. Eur J Ophthalmol 32(1):242–248

    Article  PubMed  Google Scholar 

  6. Jiang H, Fu W, Xu H (2022) The technique of phacoemulsification and intraocular lens implantation in subluxated cataract surgery. Stem Cells Int 2022:3188710

    Article  PubMed  PubMed Central  Google Scholar 

  7. Ucar F (2023) Intrascleral fixation of capsular bag and intraocular lens in cases with large zonular dialysis. Int Ophthalmol 43(1):131–140

    Article  PubMed  Google Scholar 

  8. Soyler M, Sabur H, Unsal U (2022) Flanged iris hook for capsular bag stabilization. J Cataract Refract Surg 48(9):1088–1091

    Article  PubMed  Google Scholar 

  9. Donaldson KE et al (2005) Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support. J Cataract Refract Surg 31(5):903–909

    Article  PubMed  Google Scholar 

  10. Maggi R, Maggi C (1997) Sutureless scleral fixation of intraocular lenses. J Cataract Refract Surg 23(9):1289–1294

    Article  CAS  PubMed  Google Scholar 

  11. Jacob S, Kumar DA, Rao NK (2020) Scleral fixation of intraocular lenses. Curr Opin Ophthalmol 31(1):50–60

    Article  PubMed  Google Scholar 

  12. Yamane S et al (2017) Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 124(8):1136–1142

    Article  PubMed  Google Scholar 

  13. Gabor SG, Pavlidis MM (2007) Sutureless intrascleral posterior chamber intraocular lens fixation. J Cataract Refract Surg 33(11):1851–1854

    Article  PubMed  Google Scholar 

  14. Szurman P et al (2010) Z-suture: a new knotless technique for transscleral suture fixation of intraocular implants. Br J Ophthalmol 94(2):167–169

    Article  CAS  PubMed  Google Scholar 

  15. Bardoloi N et al (2021) Capsular tension ring assisted phacoemulsification of morgagnian cataract. Indian J Ophthalmol 69(7):1781–1785

    Article  PubMed  PubMed Central  Google Scholar 

  16. Cionni RJ, Osher RH (1998) Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg 24(10):1299–1306

    Article  CAS  PubMed  Google Scholar 

  17. Kelkar AS et al (2017) Sutureless 27-gauge needle-assisted transconjunctival intrascleral intraocular lens fixation: Initial experience. Indian J Ophthalmol 65(12):1450–1453

    Article  PubMed  PubMed Central  Google Scholar 

  18. Sidiropoulos G et al (2022) Novel sutureless scleral fixated IOL for inadequate or absent capsular support. J Ophthalmol 2022:2161003

    Article  PubMed  PubMed Central  Google Scholar 

  19. Dimopoulos S et al (2018) Long-term outcome of scleral-fixated posterior chamber intraocular lens implantation with the knotless Z-suture technique. J Cataract Refract Surg 44(2):182–185

    Article  PubMed  Google Scholar 

  20. Dinç E et al (2018) Scleral fixated intraocular lens implantation with a modified Z-suture technique. Int Ophthalmol 38(6):2357–2361

    Article  PubMed  Google Scholar 

  21. Chee SP, Jap A (2011) Management of traumatic severely subluxated cataracts. Am J Ophthalmol 151(5):866–871

    Article  PubMed  Google Scholar 

  22. Jiang H, Zhang W, Chu YH (2023) Technique of using Cionni-modified capsular tension ring in the management of severely traumatic lens subluxation. Int J Ophthalmol 16(7):1078–1083

    Article  PubMed  PubMed Central  Google Scholar 

  23. Buttanri IB et al (2012) Modified capsular tension ring implantation in eyes with traumatic cataract and loss of zonular support. J Cataract Refract Surg 38(3):431–436

    Article  PubMed  Google Scholar 

  24. Marianelli BF et al (2019) Observational study of intraocular lens tilt in sutureless intrascleral fixation versus standard transscleral suture fixation determined by ultrasound biomicroscopy. Int J Retina Vitreous 5:33

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

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Funding

No funding was received for this study.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Health Sciences Turkey, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey

    Sibel Ahmet, Burcu Kemer Atik, Nilay Kandemir Beşek, Ahmet Kırgız, Güneş Gümüş Kasapoğlu & Gizem Yayla Akıncılar

Authors
  1. Sibel Ahmet
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  2. Burcu Kemer Atik
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  3. Nilay Kandemir Beşek
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  4. Ahmet Kırgız
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  5. Güneş Gümüş Kasapoğlu
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  6. Gizem Yayla Akıncılar
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Güneş GÜMÜŞ KASAPOĞLU, Gizem YAYLA AKINCILAR and Burcu KEMER ATİK. The first draft of the manuscript was written by Sibel AHMET, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Sibel Ahmet.

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Ahmet, S., Kemer Atik, B., Kandemir Beşek, N. et al. Comparison of three techniques for simultaneous intraocular lens implantation in subluxated cataract surgery: Transconjunctival intrascleral, Z-suture knotless transscleral, and Cionni capsular tension ring assisted. Int Ophthalmol 44, 152 (2024). https://doi.org/10.1007/s10792-024-03085-x

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