Oren N Fass1, Wesley K Herman. 1. Vision Quest Surgical Center, 5421 La Sierra Drive, Dallas, Texas 75231, USA. orenfass@hotmail.com
Abstract
PURPOSE: To determine whether suture fixation of a hydrophilic acrylic intraocular lens (IOL) with 4 hollow haptics through a small incision can be an alternative to 2-point fixation of sutured IOLs. SETTING: Private surgical center, Dallas, Texas, USA. METHODS: Four-point suture fixation of an Akreos IOL was performed in 1 eye each of 9 patients with aphakia and insufficient capsule support. RESULTS: Postoperatively, the corrected distance visual acuity and spherical equivalent were improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). Cases of vitreous hemorrhage, ocular hypertension, IOL decentration, and peripheral choroidal effusions resolved without treatment or with intervention in the early postoperative period. CONCLUSION: In this preliminary study, suturing a hydrophilic acrylic IOL with 4 hollow haptics to the sclera had a low risk for CME and pigmentary dispersion glaucoma. (c) 2010 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
PURPOSE: To determine whether suture fixation of a hydrophilic acrylic intraocular lens (IOL) with 4 hollow haptics through a small incision can be an alternative to 2-point fixation of sutured IOLs. SETTING: Private surgical center, Dallas, Texas, USA. METHODS: Four-point suture fixation of an Akreos IOL was performed in 1 eye each of 9 patients with aphakia and insufficient capsule support. RESULTS: Postoperatively, the corrected distance visual acuity and spherical equivalent were improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). Cases of vitreous hemorrhage, ocular hypertension, IOL decentration, and peripheral choroidal effusions resolved without treatment or with intervention in the early postoperative period. CONCLUSION: In this preliminary study, suturing a hydrophilic acrylic IOL with 4 hollow haptics to the sclera had a low risk for CME and pigmentary dispersion glaucoma. (c) 2010 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
Authors: S M Shahid; B C Flores-Sánchez; E W Chan; R Anguita; S N Ahmed; L Wickham; D G Charteris Journal: Eye (Lond) Date: 2021-06-11 Impact factor: 3.775
Authors: Yesha S Shah; Angela Y Zhu; Sidra I Zafar; Daniel Sarezky; Ximin Li; T Y Alvin Liu; Mira M Sachdeva; Fasika A Woreta Journal: Clin Ophthalmol Date: 2021-02-24