Jee Myung Yang1, Kyung-Chul Yoon1, Yong-Sok Ji2. 1. Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. 2. Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. Electronic address: redvein@naver.com.
Abstract
OBJECTIVE: To report the clinical outcomes of transscleral fixation using a single-piece foldable acrylic intraocular lens (IOL) with eyelets at the optic-haptic junction (enVista; Bausch & Lomb). DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Sixty eyes of 60 patients who underwent transscleral fixation with an enVista IOL were reviewed. METHODS: Preoperative patient status, postoperative visual and refractive outcomes, and postoperative complications were analyzed. RESULTS: The study included 60 eyes of 60 patients (52 males, 8 females) with a mean age of 56.65 ± 15.57 years. At final follow-up visit, the mean follow-up was 11.40 ± 4.24 months. The mean uncorrected visual acuity (logMAR) improved from 1.95 ± 0.90 to 0.85 ± 0.77 (p < 0.001), and best corrected visual acuity (logMAR) improved from 1.11 ± 1.13 to 0.64 ± 0.70 (p = 0.006). The mean spherical equivalent improved significantly from 6.90 ± 6.10 to 0.21 ± 2.10 D postoperatively (p < 0.001). Complications included transient ocular hypertension (15%), transient hypotony (7%), and hyphema (5%), but no serious complications were observed. In all cases, the IOL remained stable and well centred. CONCLUSIONS: Transscleral fixation using a foldable acrylic IOL with eyelets at the optic-haptic junction can be a safe and effective alternative technique to manage cases with broken capsular bag or weak zonular support.
OBJECTIVE: To report the clinical outcomes of transscleral fixation using a single-piece foldable acrylic intraocular lens (IOL) with eyelets at the optic-haptic junction (enVista; Bausch & Lomb). DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Sixty eyes of 60 patients who underwent transscleral fixation with an enVista IOL were reviewed. METHODS: Preoperative patient status, postoperative visual and refractive outcomes, and postoperative complications were analyzed. RESULTS: The study included 60 eyes of 60 patients (52 males, 8 females) with a mean age of 56.65 ± 15.57 years. At final follow-up visit, the mean follow-up was 11.40 ± 4.24 months. The mean uncorrected visual acuity (logMAR) improved from 1.95 ± 0.90 to 0.85 ± 0.77 (p < 0.001), and best corrected visual acuity (logMAR) improved from 1.11 ± 1.13 to 0.64 ± 0.70 (p = 0.006). The mean spherical equivalent improved significantly from 6.90 ± 6.10 to 0.21 ± 2.10 D postoperatively (p < 0.001). Complications included transient ocular hypertension (15%), transient hypotony (7%), and hyphema (5%), but no serious complications were observed. In all cases, the IOL remained stable and well centred. CONCLUSIONS: Transscleral fixation using a foldable acrylic IOL with eyelets at the optic-haptic junction can be a safe and effective alternative technique to manage cases with broken capsular bag or weak zonular support.
Authors: Nimesh A Patel; Kenneth C Fan; Nicolas A Yannuzzi; Jorge A Fortun; Luis J Haddock; Sonia H Yoo; Patrice J Persad; Elizabeth A Vanner; Sarah P Read; Basil K Williams; Jayanth Sridhar; Thomas A Albini; Harry W Flynn; Kendall Donaldson; Justin H Townsend Journal: Clin Ophthalmol Date: 2020-12-21