Comparison of three techniques for simultaneous intraocular lens implantation in subluxated cataract surgery: Transconjunctival intrascleral, Z-suture knotless transscleral, and Cionni capsular tension ring assisted

Purpose To evaluate and compare the clinical outcomes of three different methods of intraocular lens (IOL) implantation in the surgery of subluxated cataracts. Methods In this retrospective, comparative, clinical interventional study, the medical records of patients who underwent IOL implantation wi...

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Veröffentlicht in:International ophthalmology 2024-03, Vol.44 (1), p.152-152, Article 152
Hauptverfasser: Ahmet, Sibel, Kemer Atik, Burcu, Kandemir Beşek, Nilay, Kırgız, Ahmet, Gümüş Kasapoğlu, Güneş, Yayla Akıncılar, Gizem
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container_end_page 152
container_issue 1
container_start_page 152
container_title International ophthalmology
container_volume 44
creator Ahmet, Sibel
Kemer Atik, Burcu
Kandemir Beşek, Nilay
Kırgız, Ahmet
Gümüş Kasapoğlu, Güneş
Yayla Akıncılar, Gizem
description Purpose To evaluate and compare the clinical outcomes of three different methods of intraocular lens (IOL) implantation in the surgery of subluxated cataracts. Methods In this retrospective, comparative, clinical interventional study, the medical records of patients who underwent IOL implantation with sutureless 27-gauge needle-assisted transconjunctival intrascleral (Group 1), Z-suture knotless transscleral (Group 2), and Cionni capsular tension ring (Cionni-CTR) assisted (Group 3) simultaneously with subluxated cataract extraction between June 2010 and June 2022 were evaluated. Demographic characteristics, follow-up times, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical and cylindrical refractive values, and spherical equivalent (SE) values of three groups were compared. Intraoperative and postoperative complications were recorded. Results There were 20 eyes in Group 1, 35 eyes in Group 2, and 40 eyes in Group 3. In all groups, statistically significant improvement was observed in postoperative UDVA and CDVA compared to preoperative values (each p  0.05). Conclusion The study suggests that three different IOL implantation techniques for simultaneous IOL implantation in subluxated cataract surgery have similar effects on visual and refractive outcomes.
doi_str_mv 10.1007/s10792-024-03085-x
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Methods In this retrospective, comparative, clinical interventional study, the medical records of patients who underwent IOL implantation with sutureless 27-gauge needle-assisted transconjunctival intrascleral (Group 1), Z-suture knotless transscleral (Group 2), and Cionni capsular tension ring (Cionni-CTR) assisted (Group 3) simultaneously with subluxated cataract extraction between June 2010 and June 2022 were evaluated. Demographic characteristics, follow-up times, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical and cylindrical refractive values, and spherical equivalent (SE) values of three groups were compared. Intraoperative and postoperative complications were recorded. Results There were 20 eyes in Group 1, 35 eyes in Group 2, and 40 eyes in Group 3. In all groups, statistically significant improvement was observed in postoperative UDVA and CDVA compared to preoperative values (each p &lt; 0.05). There was no statistical difference between the groups in postoperative UDVA and CDVA values. (p = 0.130, p = 0.167 respectively). No significant difference was observed between the groups in terms of postoperative spherical, cylindrical, and SE values (each p &gt; 0.05). Conclusion The study suggests that three different IOL implantation techniques for simultaneous IOL implantation in subluxated cataract surgery have similar effects on visual and refractive outcomes.</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-024-03085-x</identifier><identifier>PMID: 38509438</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acuity ; Cataract - complications ; Cataract Extraction - adverse effects ; Cataracts ; Complications ; Eye ; Eye surgery ; Humans ; Implantation ; Intraocular lenses ; Lens Implantation, Intraocular - methods ; Lenses, Intraocular - adverse effects ; Medical records ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Postoperative ; Retrospective Studies ; Statistical analysis ; Surgery ; Sutures ; Sutures - adverse effects ; Visual acuity ; Visual effects</subject><ispartof>International ophthalmology, 2024-03, Vol.44 (1), p.152-152, Article 152</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2024. 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Methods In this retrospective, comparative, clinical interventional study, the medical records of patients who underwent IOL implantation with sutureless 27-gauge needle-assisted transconjunctival intrascleral (Group 1), Z-suture knotless transscleral (Group 2), and Cionni capsular tension ring (Cionni-CTR) assisted (Group 3) simultaneously with subluxated cataract extraction between June 2010 and June 2022 were evaluated. Demographic characteristics, follow-up times, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical and cylindrical refractive values, and spherical equivalent (SE) values of three groups were compared. Intraoperative and postoperative complications were recorded. Results There were 20 eyes in Group 1, 35 eyes in Group 2, and 40 eyes in Group 3. In all groups, statistically significant improvement was observed in postoperative UDVA and CDVA compared to preoperative values (each p &lt; 0.05). 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Methods In this retrospective, comparative, clinical interventional study, the medical records of patients who underwent IOL implantation with sutureless 27-gauge needle-assisted transconjunctival intrascleral (Group 1), Z-suture knotless transscleral (Group 2), and Cionni capsular tension ring (Cionni-CTR) assisted (Group 3) simultaneously with subluxated cataract extraction between June 2010 and June 2022 were evaluated. Demographic characteristics, follow-up times, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), spherical and cylindrical refractive values, and spherical equivalent (SE) values of three groups were compared. Intraoperative and postoperative complications were recorded. Results There were 20 eyes in Group 1, 35 eyes in Group 2, and 40 eyes in Group 3. In all groups, statistically significant improvement was observed in postoperative UDVA and CDVA compared to preoperative values (each p &lt; 0.05). 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subjects Acuity
Cataract - complications
Cataract Extraction - adverse effects
Cataracts
Complications
Eye
Eye surgery
Humans
Implantation
Intraocular lenses
Lens Implantation, Intraocular - methods
Lenses, Intraocular - adverse effects
Medical records
Medicine
Medicine & Public Health
Ophthalmology
Postoperative
Retrospective Studies
Statistical analysis
Surgery
Sutures
Sutures - adverse effects
Visual acuity
Visual effects
title Comparison of three techniques for simultaneous intraocular lens implantation in subluxated cataract surgery: Transconjunctival intrascleral, Z-suture knotless transscleral, and Cionni capsular tension ring assisted
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