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Journals / Glokom Katarakt / 2019 / Cilt: 14 - Sayı: 2

The Safety and Effi cacy of Modifi ed Suture Burial Technique to Prevent Complications in Transscleral Fixated Intraocular Lenses

Transskleral Fiksasyonlu Göz İçi Lenslerinde Komplikasyonların Önlenmesinde Modifi ye Sütür Yönteminin Güvenilirliği

Mahmut KAYA
Oya DÖNMEZ
Ziya AYHAN
Öztürk Arif TAYLAN
Süleyman KAYNAK
Nilüfer KOÇAK
Pages
72–77
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The preoperative best corrected visual acuity (Snellen chart) was 0.24±0.17 (0.01-0.06), whereas it was found 0.53±0.29 (0.1-1.0) at the fi nal visit (p<0.0001).

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To evaluate the effi cacy and safety of modifi ed suture burial technique in scleral fi xation intraocular lens implantation in eyes with inadequate capsular support as a result of various etiologies.
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Key Findings & Data:Material and Methods: The medical records of 52 eyes of 52 patients that underwent scleral fi xation intraocular lens implantation and followed at least 12 months were included, and medical charts were retrospectively reviewed.
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Conclusion & Impact:The preoperative best corrected visual acuity (Snellen chart) was 0.24±0.17 (0.01-0.06), whereas it was found 0.53±0.29 (0.1-1.0) at the fi nal visit (p<0.0001).
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To evaluate the effi cacy and safety of modifi ed suture burial technique in scleral fi xation intraocular lens implantation in eyes with inadequate capsular support as a result of various etiologies. Material and Methods: The medical records of 52 eyes of 52 patients that underwent scleral fi xation intraocular lens implantation and followed at least 12 months were included, and medical charts were retrospectively reviewed. Demographical features of the patients, postoperative best corrected visual acuity, suture-related complications, and duration of follow up were recorded. The scleral fi xation sutures were buried in the scleral using modifi ed Z Baykara technique. Results: Of the 52 patients, 32 were male and 20 were female. The mean age was 59.2±15.9 years (19-80 years). Mean follow-up was found as 26.7±6.8 months (12-38 months). The preoperative best corrected visual acuity (Snellen chart) was 0.24±0.17 (0.01-0.06), whereas it was found 0.53±0.29 (0.1-1.0) at the fi nal visit (p<0.0001). The mean astigmatism was found 3.1±2.5 D (0.50-9.25 D) at the end of 12 month. The main postoperative complications were suture erosion (2 patients, 4.5%), cystoid macular edema (2 patients,4.5%), minimal tilted intraocular lens (1 patient, 2.2%) and retinal detachment (1 patient, 2.2%). Conclusion: For aphakic rehabilitation; scleral fi xation intraocular lens implantation was a favorable treatment option in eyes with inadequate capsular support as a result of various etiologies. The suture burial using modifi ed Z Baykara technique was found to be safe and effective method to prevent postoperative complications.

Özet

Amaç: Farklı endikasyonlarla kapsüler desteği yetersiz olan olgularda skleral fi ksasyonlu göz içi lens implantasyonu ve sütür komplikasyonların önlenmesinde modifi ye sütür gömme yönteminin güvenilirliğini araştırmak. Gereç ve Yöntemler: Skleral fi ksasyonlu göz içi lens implantasyonu yapılan ve en az 12 ay takibi olan 52 hastanın 52 gözü çalışmaya alındı ve dosyaları retrospektif olarak incelendi. Hastaların demografi k özellikleri ile ameliyat sonrası görme sonuçları, sütürasyon ile ilişkili komplikasyonlar ve takip süreleri kaydedildi. Skleral fi ksasyon sütürleri modifi ye yarım Z Baykara yöntemi ile skleraya gömüldü. Bulgular: Hastaların 32’si erkek ve 20’si kadın idi. Hastaların ortalama yaşı 59.2±15.9 yıl (19-80 yaş) idi. Hastaların ortalama takip süreleri 26.7±6.8 ay (12-38 ay) idi. Ameliyat öncesi en iyi düzeltilmiş görme keskinliği (Snellen eşeli) 0.24±0.17 (0.01-0.06) düzeyinde iken, izlem sonunda 0.53±0.29 (0.1-1.0) düzeyinde bulundu (p<0.0001). Ortalama astigmatizma oranı, 12.ayda 3.1±2.5 D (0.50-9.25 D) bulundu. Postoperatif komplikasyon olarak; 2 hastada (%4.5) sütür erozyonu, 2 hastada (%4) kistoid maküla ödemi, 1 hastada (%2.2) minimal tilte göz içi lens ve 1 hastada (%2.2) retina dekolmanı izlendi. Sonuç: Farklı etiyolojilerle kapsül desteği yeterli olmayan olguların afak rehabilitasyonunda skleral fi ksasyonlu göz içi lens implantasyonu iyi bir tedavi seçeneğidir. Modifi ye sütür gömme yöntemi, komplikasyonların önlenmesinde güvenilir olarak bulunmuştur.

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Cite This Article

KAYA, M., DÖNMEZ, O., AYHAN, Z., TAYLAN, Ö. A., KAYNAK, S., KOÇAK, N. (2019). The Safety and Effi cacy of Modifi ed Suture Burial Technique to Prevent Complications in Transscleral Fixated Intraocular Lenses. Glokom Katarakt, Cilt: 14 - Sayı: 2, 72–77. https://ajindex.com/articles/161807

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