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Journals / BEYOGLU EYE JOURNAL / 2020 / Cilt: 5 - Sayı: 3

Combined Intracapsular Lens Removal and Scleral Fixation of Intraocular Lenses Through the Same Scleral Tunnel in Cases with Severely Dislocated Lenses

Selim Genç
Amber Şenel KÜKNER
Özum YÜCEL
Sariye TAŞKOPARAN
FEHİM ESEN
Pages
223–227
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

These complications improved spontaneously without the need for further intervention.Conclusion: Simultaneous removal of dislocated lens and SF-IOL implantation through the same scleral tunnel was a safe and effective procedure for patients with severely dislocated IOLs.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: The management of severely dislocated lenses floating in the anterior vitreous is challenging.
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Key Findings & Data:All included patients had undergone ICCE, followed by implantation of an SF-IOL during the same surgical session through the same scleral tunnel placed 1.5 mm posterior to the limbus.
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Conclusion & Impact:These complications improved spontaneously without the need for further intervention.Conclusion: Simultaneous removal of dislocated lens and SF-IOL implantation through the same scleral tunnel was a safe and effective procedure for patients with severely dislocated IOLs.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: The management of severely dislocated lenses floating in the anterior vitreous is challenging. This study describes the clinical outcome of a surgical approach with intracapsular lens extraction (ICCE) and implantation of a scleral-fixated posterior chamber intraocular lens (SF-IOL) at the same surgical session.Methods: Records of patients who had severely dislocated lenses were retrospectively reviewed. All included patients had undergone ICCE, followed by implantation of an SF-IOL during the same surgical session through the same scleral tunnel placed 1.5 mm posterior to the limbus. Clinical characteristics of the patients were collected, and surgical videos were watched again to review intraoperative complications.Results: Thirty eyes of 30 patients (mean age, 68±11.1 years, 23 male, 7 female) were included in the study. Twenty-five patients had a history of blunt trauma, and five patients had pseudoexfoliation syndrome. The best-corrected visual acuity of the patient improved significantly after the procedure (p=0.001). The intraocular pressure of the patients remained unchanged (p=0.38). Three patients developed mild IOL dislocation that did not require any intervention. A patient devel-oped transient hypotony, and another developed mild vitreous hemorrhage. These complications improved spontaneously without the need for further intervention.Conclusion: Simultaneous removal of dislocated lens and SF-IOL implantation through the same scleral tunnel was a safe and effective procedure for patients with severely dislocated IOLs.

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Cite This Article

Genç, S., KÜKNER, A. Ş., YÜCEL, Ö., TAŞKOPARAN, S., ESEN, F. (2020). Combined Intracapsular Lens Removal and Scleral Fixation of Intraocular Lenses Through the Same Scleral Tunnel in Cases with Severely Dislocated Lenses. BEYOGLU EYE JOURNAL, Cilt: 5 - Sayı: 3, 223–227. https://ajindex.com/articles/353107

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References (14)

  1. Mora P, Calzetti G, Favilla S, Forlini M, Tedesco S, Date P, et al. Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation. J Ophthalmol 2018;2018:8463569
  2. Kokame GT, Yanagihara RT, Shantha JG, Kaneko KN. Long-term Outcome of Pars Plana Vitrectomy and Sutured Scleral-Fixated Posterior Chamber Intraocular Lens Implantation or Repositioning. Am J Ophthalmol 2018;189:10–6
  3. Esen F, Köstek M, Emekli AS, Eraslan M. Double-Organ Bias in Published Randomized Controlled Trials of Glaucoma. J Glaucoma 2016;25:520–2
  4. Kutucu P, Sarıcaoğlu MS, Recep ÖF, Karakurt A, Şengün A, Hasıripi H, et al. Lens luksasyonlarında skleral fiksasyonlu göz içi lens implantasyonu. T Oft Gaz 2009;39:177–82
  5. Kubaloğlu A, Yazıcıoğlu T, Kurnaz E. penetran keratoplastilerde skleral fiksasyonlu arka kamara göz içi lens implantasyonu T Oft Gaz 2002;32:669–73
  6. Yanyalı A, Horozoğlu F, Erçalık Y, Çelik E, Ortak HN, Nohutçu AF, et al. Vitreus içine lens dislokasyonunda pars plana vitrektomi, intravitreal fakoemülsifikasyon ve skleral kesiden skleral fiksasyonlu lens implantasyonu. T Oft Gaz 2004;33:181–5
  7. Chan TC, Lam JK, Jhanji V, Li EY. Comparison of outcomes of primary anterior chamber versus secondary scleral-fixated intraocular lens implantation in complicated cataract surgeries. Am J Ophthalmol 2015;159:221–6
  8. Hazar L, Kara N, Bozkurt E, Ozgurhan EB, Demirok A. Intraocular lens implantation procedures in aphakic eyes with insufficient capsular support associated with previous cataract surgery. J Refract Surg 2013;29:685–91
  9. Melamud A, Topilow JS, Cai L, He X. Pars Plana Vitrectomy Combined with Either Secondary Scleral Fixated or Anterior Chamber Intraocular Lens Implantation. Am J Ophthalmol 2016;168:177–82
  10. Kim KH, Kim WS. Comparison of clinical outcomes of iris fixation and scleral fixation as treatment for intraocular lens dislocation. Am J Ophthalmol 2015;160:463–9
  11. Brunette I, Stulting RD, Rinne JR, Waring GO 3rd, Gemmil M. Penetrating keratoplasty with anterior or posterior chamber intraocular lens implantation. Arch Ophthalmol 1994;112:1311– 9
  12. Por YM, Lavin MJ. Techniques of intraocular lens suspension in the absence of capsular/zonular support. Surv Ophthalmol 2005;50:429–62
  13. Young AL, Leung GY, Cheng LL, Lam DS. A modified technique of scleral fixated intraocular lenses for aphakic correction. Eye (Lond) 2005;19:19–22
  14. Olsen T, Dam-Johansen M, Bek T, Hjortdal JO. Corneal vers