Scleral Fixated Secondary IOLs: An Outcomes Comparison Between the Yamane and Gore-Tex-Sutured Techniques.

IF 0.9 4区医学 Q4 OPHTHALMOLOGY Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-07-01 Epub Date: 2024-03-01 DOI:10.3928/23258160-20240226-01

Sean C Drummond, Jack E Feist, Jason N Crosson, Asghar A Haider, Jonathan S Fuerst, Devon Askins Hughes, Richard M Feist

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Abstract

Background and objective: Among secondary intraocular lens (IOL) techniques, scleral fixated IOLs (SFIOLs) offer advantages in cases without capsular support. In this article, we compare outcomes between two types of Gore-Tex scleral sutured IOLs with the Yamane technique.

Patients and methods: This study was a retrospective chart review of patients who underwent SFIOL implantation.

Results: Analysis revealed a statistically significant improvement in final postoperative visual acuity (VA) for sutured SFIOLs (P < 0.001, Envista (n = 29) 95% CI 0.47 to 1.04, Akreos (n = 23) 95% CI 0.32 to 0.81) with no statistical improvement in the Yamane group (P = 0.44, n = 15, 95% CI -0.33 to 0.71). Outcomes analysis revealed greater incidences of cystoid macular edema (CME) in the Yamane cohort (P < 0.05) and a higher rate of reoperations in the Akreos cohort (P < 0.02). All complications related to suture material (n = 4) and IOL decentration (n = 2) occurred in the sutured SFIOL group.

Conclusions: The sutureless Yamane technique offered fewer subsequent surgeries and suture-specific complications while revealing diminished VA improvement in long-term follow-up compared to the sutured SFIOLs. [Ophthalmic Surg Lasers Imaging Retina 2024;55:384-390.].

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巩膜固定二次人工晶体：Yamane 和 Gore-Tex 缝合技术的效果比较。

背景和目的：在二次人工晶体（IOL）技术中，巩膜固定人工晶体（SFIOL）在无囊膜支持的情况下具有优势。本文比较了两种类型的 Gore-Tex 巩膜缝合人工晶体与 Yamane 技术的效果：本研究对接受 SFIOL 植入术的患者进行了回顾性病历审查：分析显示，缝合SFIOLs的术后最终视力（VA）有统计学意义的改善（P < 0.001，Envista（n = 29）95% CI 0.47-1.04，Akreos（n = 23）95% CI 0.32-0.81），而Yamane组无统计学意义的改善（P = 0.44，n = 15，95% CI -0.33-0.71）。结果分析显示，Yamane组的囊样黄斑水肿（CME）发生率更高（P < 0.05），而Akreos组的再手术率更高（P < 0.02）。所有与缝合材料（4 例）和人工晶体脱位（2 例）相关的并发症均发生在缝合 SFIOL 组：结论：与缝合SFIOLs相比，Yamane无缝合技术减少了后续手术和缝合特异性并发症，但在长期随访中VA改善程度有所下降。[眼科手术激光成像视网膜2024;55:xx-xx]。

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来源期刊

Ophthalmic surgery, lasers & imaging retina OPHTHALMOLOGY-SURGERY

CiteScore

1.80

自引率

0.00%

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期刊介绍： OSLI Retina focuses exclusively on retinal diseases, surgery and pharmacotherapy. OSLI Retina will offer an expedited submission to publication effort of peer-reviewed clinical science and case report articles. The front of the journal offers practical clinical and practice management features and columns specific to retina specialists. In sum, readers will find important peer-reviewed retina articles and the latest findings in techniques and science, as well as informative business and practice management features in one journal.