Details

Autor(en) / Beteiligte

• Saleh, Maher, MD, PhD
• Heitz, Antoine, MD
• Bourcier, Tristan, MD, PhD
• Speeg, Claude, MD, PhD
• Delbosc, Bernard, MD, PhD
• Montard, Michel, MD, PhD
• Gaucher, David, MD, PhD

Titel

Sutureless intrascleral intraocular lens implantation after ocular trauma

Ist Teil von

• Journal of cataract and refractive surgery, 2013, Vol.39 (1), p.81-86

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• Purpose To report the results and safety of sutureless intrascleral haptic fixation in traumatized eyes and to compare this procedure with retropupillary iris-claw intraocular lens (IOL) fixation. Setting University Hospital of Strasbourg, Strasbourg, France. Design Interventional case series. Methods Patients with traumatic cataract and severely damaged capsular bags were divided into 2 groups (Group 1: intrascleral IOLs [Acrysof MN60 AC]; Group 2: retropupillary iris-claw IOLs [Verisyse]). The main outcome was the final visual acuity. The surgically induced astigmatism (SIA) was calculated by the vectorial method. Results Twenty-six eyes of 23 patients were studied, 8 eyes in Group 1 and 18 eyes in Group 2. The mean follow-up was 14 months. There was no difference in corrected distance visual acuity (CDVA) at the time of the surgery ( P >.05). The mean CDVA (logMAR) was 1.68 ± 1.15 (SD) preoperatively and 0.55 ± 0.9 postoperatively in Group 1 ( P = .03) and 1.11 ± 1.13 and 0.32 ± 0.47, respectively, in Group 2 ( P  = .003). The final CDVA was not different between groups ( P >.05). The mean SIA was 1.91 ± 1.66 diopters (D) in Group 1 and 2.74 ± 1.92 D in Group 2 ( P >.05). No intraoperative complications occurred in Group 2; a haptic broke in Group 1. Macular edema occurred in both groups. Conclusions Sutureless intrascleral IOLs corrected posttraumatic aphakia. The SIA was comparable between groups. This procedure should be considered after trauma when other implantation techniques are not possible. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.