Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study

BackgroundThis study presents the one-year outcomes of a modified technique for transscleral suture fixation of a posterior chamber intraocular lens (PCIOL) in aphakic eyes.MethodsA retrospective chart review was conducted on 45 patients who underwent transscleral suture fixation of a foldable one-p...

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Main Authors: Mohammadkarim Johari, Alireza Attar, Dorna Eghtedari, Seyed Ahmad Razavizadegan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1503394/full
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author Mohammadkarim Johari
Alireza Attar
Dorna Eghtedari
Seyed Ahmad Razavizadegan
author_facet Mohammadkarim Johari
Alireza Attar
Dorna Eghtedari
Seyed Ahmad Razavizadegan
author_sort Mohammadkarim Johari
collection DOAJ
description BackgroundThis study presents the one-year outcomes of a modified technique for transscleral suture fixation of a posterior chamber intraocular lens (PCIOL) in aphakic eyes.MethodsA retrospective chart review was conducted on 45 patients who underwent transscleral suture fixation of a foldable one-piece PCIOL through scleral pockets. Preoperative data and follow-up data for a minimum of 12 months were collected for all patients.ResultsThe mean preoperative and postoperative uncorrected distance visual acuity (UDVA) in LogMAR was 2.49 ± 0.54 and 0.54 ± 0.25, respectively (p < 0.01). The mean preoperative and postoperative best-corrected visual acuity (BCVA) in LogMAR was 0.52 ± 0.22 and 0.45 ± 0.24, respectively (p < 0.01). The mean endothelial cell loss was 110.46 ± 11.5 cells/mm2. Postoperative complications included transient corneal edema (17.7%), transient elevated intraocular pressure (22.2%), and non-significant vitreous hemorrhage (11.1%). No severe complications were observed.ConclusionThe modified technique provides stable PCIOL placement in aphakic eyes with long-term follow-up.
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spelling doaj-art-8e31c3c2878b460fa9967af7591d95de2025-01-13T06:11:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.15033941503394Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective studyMohammadkarim JohariAlireza AttarDorna EghtedariSeyed Ahmad RazavizadeganBackgroundThis study presents the one-year outcomes of a modified technique for transscleral suture fixation of a posterior chamber intraocular lens (PCIOL) in aphakic eyes.MethodsA retrospective chart review was conducted on 45 patients who underwent transscleral suture fixation of a foldable one-piece PCIOL through scleral pockets. Preoperative data and follow-up data for a minimum of 12 months were collected for all patients.ResultsThe mean preoperative and postoperative uncorrected distance visual acuity (UDVA) in LogMAR was 2.49 ± 0.54 and 0.54 ± 0.25, respectively (p < 0.01). The mean preoperative and postoperative best-corrected visual acuity (BCVA) in LogMAR was 0.52 ± 0.22 and 0.45 ± 0.24, respectively (p < 0.01). The mean endothelial cell loss was 110.46 ± 11.5 cells/mm2. Postoperative complications included transient corneal edema (17.7%), transient elevated intraocular pressure (22.2%), and non-significant vitreous hemorrhage (11.1%). No severe complications were observed.ConclusionThe modified technique provides stable PCIOL placement in aphakic eyes with long-term follow-up.https://www.frontiersin.org/articles/10.3389/fmed.2024.1503394/fullaphakiaposterior chamber intraocular lensscleral pockettransscleral suture fixationHoffman pocket
spellingShingle Mohammadkarim Johari
Alireza Attar
Dorna Eghtedari
Seyed Ahmad Razavizadegan
Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study
Frontiers in Medicine
aphakia
posterior chamber intraocular lens
scleral pocket
transscleral suture fixation
Hoffman pocket
title Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study
title_full Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study
title_fullStr Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study
title_full_unstemmed Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study
title_short Evaluation of a modified sutureless technique for scleral fixation of one-piece posterior chamber intraocular lens: a retrospective study
title_sort evaluation of a modified sutureless technique for scleral fixation of one piece posterior chamber intraocular lens a retrospective study
topic aphakia
posterior chamber intraocular lens
scleral pocket
transscleral suture fixation
Hoffman pocket
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1503394/full
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