Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile
Background/aimsTo report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture.MethodsRetrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alco...
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| Veröffentlicht in: | British journal of ophthalmology 2016-05, Vol.100 (5), p.638-643 |
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| creator | Khan, M Ali Gupta, Omesh P Smith, Ryan G Ayres, Brandon D Raber, Irving M Bailey, Robert S Hsu, Jason Spirn, Marc J |
| description | Background/aimsTo report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture.MethodsRetrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alcon CZ70BD IOL using Gore-Tex suture. Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days.Results85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p |
| doi_str_mv | 10.1136/bjophthalmol-2015-306839 |
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Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days.Results85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p<0.001). Mean follow-up was 325 days (median 264 days, range 90–996 days). There were no intraoperative complications noted. Postoperative complications included hypotony in eight patients (9.4%), ocular hypertension in six eyes (7%), vitreous haemorrhage in six eyes (7%), hyphema in two eyes (2%), serous choroidal detachment in two eyes (2%), cystoid macular oedema in two eyes (2%) and corneal oedema in one eye (1%). There were no cases of postoperative endophthalmitis, suture erosion/breakage, retinal detachment, suprachoroidal haemorrhage, uveitis–glaucoma–hyphema syndrome or persistent postoperative inflammation in the follow-up period.ConclusionsAb externo scleral fixation of IOLs with Gore-Tex suture was well tolerated in all cases. No suture-related complications were encountered. This procedure led to improvement in visual acuity and was not associated with significant intraoperative or postoperative complications.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2015-306839</identifier><identifier>PMID: 26319945</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Biometrics ; Clinical outcomes ; Female ; Follow-Up Studies ; Hospitals ; Humans ; Intraoperative Complications ; Lens Implantation, Intraocular - methods ; Lenses, Intraocular ; Male ; Middle Aged ; Optics ; Phacoemulsification ; Polytetrafluoroethylene ; Postoperative Complications ; Postoperative period ; Prostheses ; Pseudophakia - physiopathology ; Retrospective Studies ; Sclera - surgery ; Short term ; Surgery ; Surgical techniques ; Sutures ; Tomography ; Visual Acuity - physiology ; Young Adult</subject><ispartof>British journal of ophthalmology, 2016-05, Vol.100 (5), p.638-643</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b453t-b2710f08a26f316aeafb3ee313caaaec796f0397d9c2e1538a5caad0a99e8be43</citedby><cites>FETCH-LOGICAL-b453t-b2710f08a26f316aeafb3ee313caaaec796f0397d9c2e1538a5caad0a99e8be43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjo.bmj.com/content/100/5/638.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjo.bmj.com/content/100/5/638.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77342,77373</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26319945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khan, M Ali</creatorcontrib><creatorcontrib>Gupta, Omesh P</creatorcontrib><creatorcontrib>Smith, Ryan G</creatorcontrib><creatorcontrib>Ayres, Brandon D</creatorcontrib><creatorcontrib>Raber, Irving M</creatorcontrib><creatorcontrib>Bailey, Robert S</creatorcontrib><creatorcontrib>Hsu, Jason</creatorcontrib><creatorcontrib>Spirn, Marc J</creatorcontrib><title>Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>Background/aimsTo report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture.MethodsRetrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alcon CZ70BD IOL using Gore-Tex suture. Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days.Results85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p<0.001). Mean follow-up was 325 days (median 264 days, range 90–996 days). There were no intraoperative complications noted. Postoperative complications included hypotony in eight patients (9.4%), ocular hypertension in six eyes (7%), vitreous haemorrhage in six eyes (7%), hyphema in two eyes (2%), serous choroidal detachment in two eyes (2%), cystoid macular oedema in two eyes (2%) and corneal oedema in one eye (1%). There were no cases of postoperative endophthalmitis, suture erosion/breakage, retinal detachment, suprachoroidal haemorrhage, uveitis–glaucoma–hyphema syndrome or persistent postoperative inflammation in the follow-up period.ConclusionsAb externo scleral fixation of IOLs with Gore-Tex suture was well tolerated in all cases. No suture-related complications were encountered. This procedure led to improvement in visual acuity and was not associated with significant intraoperative or postoperative complications.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biometrics</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Lens Implantation, Intraocular - methods</subject><subject>Lenses, Intraocular</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Optics</subject><subject>Phacoemulsification</subject><subject>Polytetrafluoroethylene</subject><subject>Postoperative Complications</subject><subject>Postoperative period</subject><subject>Prostheses</subject><subject>Pseudophakia - physiopathology</subject><subject>Retrospective Studies</subject><subject>Sclera - surgery</subject><subject>Short term</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Sutures</subject><subject>Tomography</subject><subject>Visual Acuity - physiology</subject><subject>Young Adult</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1PHDEMhqOqqGxp_wKK1Esv08aTmcyEW4X4kpB6AM4jT9aBrDKTJZlI8O_JagFVPXGybD-vbflljIP4BSDV73ETtg_LA_op-KoW0FZSqF7qT2wFjepLqdOf2UoI0VUACg7Z15Q2Ja0VdF_YYa0kaN20KzbeGE8RPbfuCRcXZh4sd_MSMZjsMXJPc6LEc3LzPb8IkapbeuIpLznSCTfezc4UeciLCVMBcV7zhJaWZ76NwTpP39iBRZ_o-2s8YnfnZ7enl9X134ur0z_X1di0cqnGugNhRY-1shIUEtpREkmQBhHJdFpZIXW31qYmaGWPbWmsBWpN_UiNPGI_93PL3sdMaRkmlwx5jzOFnAboyoeg7htd0B__oZuQ41yu21GqbaBXqlD9njIxpBTJDtvoJozPA4hh58Pwrw_Dzodh70ORHr8uyONE63fh2-MLIPfAOG0-PvYFwxuaRw</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Khan, M Ali</creator><creator>Gupta, Omesh P</creator><creator>Smith, Ryan G</creator><creator>Ayres, Brandon D</creator><creator>Raber, Irving M</creator><creator>Bailey, Robert S</creator><creator>Hsu, Jason</creator><creator>Spirn, Marc J</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile</title><author>Khan, M Ali ; Gupta, Omesh P ; Smith, Ryan G ; Ayres, Brandon D ; Raber, Irving M ; Bailey, Robert S ; Hsu, Jason ; Spirn, Marc J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b453t-b2710f08a26f316aeafb3ee313caaaec796f0397d9c2e1538a5caad0a99e8be43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biometrics</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Lens Implantation, Intraocular - methods</topic><topic>Lenses, Intraocular</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Optics</topic><topic>Phacoemulsification</topic><topic>Polytetrafluoroethylene</topic><topic>Postoperative Complications</topic><topic>Postoperative period</topic><topic>Prostheses</topic><topic>Pseudophakia - physiopathology</topic><topic>Retrospective Studies</topic><topic>Sclera - surgery</topic><topic>Short term</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Sutures</topic><topic>Tomography</topic><topic>Visual Acuity - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khan, M Ali</creatorcontrib><creatorcontrib>Gupta, Omesh P</creatorcontrib><creatorcontrib>Smith, Ryan G</creatorcontrib><creatorcontrib>Ayres, Brandon D</creatorcontrib><creatorcontrib>Raber, Irving M</creatorcontrib><creatorcontrib>Bailey, Robert S</creatorcontrib><creatorcontrib>Hsu, Jason</creatorcontrib><creatorcontrib>Spirn, Marc J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khan, M Ali</au><au>Gupta, Omesh P</au><au>Smith, Ryan G</au><au>Ayres, Brandon D</au><au>Raber, Irving M</au><au>Bailey, Robert S</au><au>Hsu, Jason</au><au>Spirn, Marc J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>100</volume><issue>5</issue><spage>638</spage><epage>643</epage><pages>638-643</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>Background/aimsTo report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture.MethodsRetrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alcon CZ70BD IOL using Gore-Tex suture. Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days.Results85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p<0.001). Mean follow-up was 325 days (median 264 days, range 90–996 days). There were no intraoperative complications noted. Postoperative complications included hypotony in eight patients (9.4%), ocular hypertension in six eyes (7%), vitreous haemorrhage in six eyes (7%), hyphema in two eyes (2%), serous choroidal detachment in two eyes (2%), cystoid macular oedema in two eyes (2%) and corneal oedema in one eye (1%). There were no cases of postoperative endophthalmitis, suture erosion/breakage, retinal detachment, suprachoroidal haemorrhage, uveitis–glaucoma–hyphema syndrome or persistent postoperative inflammation in the follow-up period.ConclusionsAb externo scleral fixation of IOLs with Gore-Tex suture was well tolerated in all cases. No suture-related complications were encountered. This procedure led to improvement in visual acuity and was not associated with significant intraoperative or postoperative complications.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>26319945</pmid><doi>10.1136/bjophthalmol-2015-306839</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Age Aged Aged, 80 and over Biometrics Clinical outcomes Female Follow-Up Studies Hospitals Humans Intraoperative Complications Lens Implantation, Intraocular - methods Lenses, Intraocular Male Middle Aged Optics Phacoemulsification Polytetrafluoroethylene Postoperative Complications Postoperative period Prostheses Pseudophakia - physiopathology Retrospective Studies Sclera - surgery Short term Surgery Surgical techniques Sutures Tomography Visual Acuity - physiology Young Adult |
| title | Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile |
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