Long-Term Outcomes of Scleral-Sutured Fixated Secondary Intraocular Lenses in Patients With Uveitis.

IF 0.9 4区医学 Q4 OPHTHALMOLOGY Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-08-01 Epub Date: 2024-06-01 DOI:10.3928/23258160-20240429-02

Danny A Mammo, Megan Steinkerchner, Sumit Sharma, Kimberly Baynes, Sunil K Srivastava

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Abstract

Objective: This study examined the long-term outcomes of scleral-sutured fixated intraocular lenses (SSIOLs) in patients with uveitis.

Patients and methods: Retrospective, consecutive review of uveitis patients with SSIOL fixation from January 2017 to December 2020. SSIOL techniques included four-point fixation with the Akreos A060 or enVista MX60 (Bausch + Lomb) lens, or Hoffman's pockets rescue.

Results: Thirteen eyes of 13 patients received an SSIOL (9 AO60, 2 MX60, 2 Hoffman's pockets). Diagnoses included pan- (9), anterior (2), and posterior uveitis (2). Average LogMAR best-corrected visual acuity pre- and postoperatively was 1.01 (Snellen ∼20/200) and 0.50 (Snellen ∼20/60), respectively (P = 0.003). No patients had postoperative SSIOL dislocation or conjunctival suture erosion. Six patients (46%) had uveitis flares postoperatively. Average follow-up was 50.2 months (range = 36.8 to 67.5).

Conclusion: This series demonstrates a 0% dislocation and suture exposure rate. Risks of uveitis flares postoperatively are high despite aggressive perioperative control but are manageable with current treatments; therefore, patients must be continually monitored. [Ophthalmic Surg Lasers Imaging Retina 2024;55:443-447.].

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巩膜缝合固定二次眼内透镜对葡萄膜炎患者的长期疗效。

研究目的本研究探讨了葡萄膜炎患者巩膜缝合固定眼内透镜（SSIOL）的长期疗效：对2017年1月至2020年12月期间接受SSIOL固定的葡萄膜炎患者进行回顾性、连续性审查。SSIOL技术包括使用Akreos A060（博士伦）或enVista MX60（博士伦）镜片进行四点固定，或霍夫曼口袋救治：13 名患者的 13 只眼睛接受了 SSIOL（9 只 AO60，2 只 MX60，2 只霍夫曼袋）。诊断包括泛葡萄膜炎（9 例）、前葡萄膜炎（2 例）和后葡萄膜炎（2 例）。术前和术后的平均 LogMAR 最佳矫正视力分别为 1.01（Snellen ∼20/200）和 0.50（Snellen ∼20/60）（P = 0.003）。没有患者在术后出现 SSIOL 脱位或结膜缝线糜烂。六名患者（46%）术后葡萄膜炎复发。平均随访时间为 50.2 个月（范围 = 36.8 至 67.5）：该系列手术的脱位率和缝线暴露率均为0%。尽管围手术期采取了积极的控制措施，但术后葡萄膜炎复发的风险很高，但目前的治疗方法可以控制这种风险；因此，必须对患者进行持续监测。[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.