Sutureless Scleral Fixation of Intraocular Lens in Aphakia: Characteristics and Visual Outcomes Oral Presentation - Observational Study - Resident
Article Sidebar
September 30, 2023
April 8, 2024
Abstract
Introduction & Objectives
Sutureless scleral fixation (SSF) surgery is one of the secondary intraocular lens (IOL) implantation
procedures for aphakic patients with absent or deficient capsular bag support that is being
increasingly performed these days. This study aimed to describe the characteristics, indications for,
and visual outcomes of patients who had undergone sutureless scleral fixation of intraocular lenses
at Sardjito Hospital.
Methods
A retrospective cross-sectional study of 43 eyes that SSF intraocular lens at Sardjito Hospital,
Yogyakarta. The data were collected from electronic medical records of patients from October 2020
to December 2022. The data were analyzed descriptively by presenting numbers and percentages for
categorical variables and mean ± standard deviation (SD) for numerical variables. Outcomes
included pre- and postoperative uncorrected visual acuity (UCVA).
Results
There were 43 eyes obtained from 40 patients who underwent SSF intraocular lens in this study,
consisting of 35 males (79.55%) and 9 females (20.45%). The mean age of the subjects was 50.04 ±
19.2 years. Lens subluxation was the most common indication for surgery (32.5%), followed by
dropped nucleus (20.45%), intraocular lens luxation (18.18%), lens luxation (15.91%), intraocular
lens decentration (9.09%), and endophthalmitis (4.55%). Before surgery, most of the patients had
visual acuity of less than 3/60 (81.4%) and after surgery, 32.56% had ?6/18, 34.88% had <6/18-6/60,
and 18.60% had <6/60-3/60.
Conclusion
Males predominantly underwent SSF intraocular lens surgery at Sardjito Hospital. Lens subluxation
was the most common indication for the surgery. There was an improvement in visual outcome.
References
Panos GD, Wilde C, Tranos P, Gatzioufas Z. Advances in the Management of Aphakia. Journal of Ophthalmology. 2022 Mar 27;2022:1–2. 2. Varma R, Sun J, Torres M, Wu S, Hsu C, Azen SP, et al. Prevalence of Lens Opacities in Adult Chinese Americans: The Chinese American Eye Study (CHES). Invest Ophthalmol Vis Sci. 2017 Dec 9;57(15):6692.
Chattannavar G, Kekunnaya R. Commentary: Decision-making in the management of surgical aphakia. Indian J Ophthalmol. 2022;70(8):2860.
Rouhette H, Meyer F, Pommier S, Benzerroug M, Denion E, Guigou S, et al. FIL-SSF Carlevale intraocular lens for sutureless scleral fixation: 7 recommendations from a serie of 72 cases. MICA study (Multicentric Study of the Carlevale IOL). Journal Français d’Ophtalmologie. 2021 Sep;44(7):1038–46.
Behera UC, Thakur PS. Scleral Fixation of Intraocular Lens in Aphakic Eyes without Capsular Support: Description of a New Technique. OPTH. 2021 Dec;Volume 15:4689–96.
Soni D, Karkhur S, Sabarwal S, Sharma B. Commentary: Sutureless fixation of scleral fixated intraocular lens: Relevance and applicability. Indian J Ophthalmol. 2020;68(11):2481.
Bedda AM. Evaluation of suturless scleral fixation with posterior chamber foldable intraocular lens implantation. Int J Ophthalmol. 2019 Aug 18;12(8):1283–9.
Patel V, Pakravan P, Lai J, Watane A, Mehra D, Eatz TA, et al. Intraocular Lens Exchange: Indications, Comparative Outcomes by Technique, and Complications. OPTH. 2023 Mar;Volume 17:941–51.
Reddy J M L. SCLERAL FIXATION IOL: OUTCOME AND COMPLICATIONS. jemds. 2016 Mar 8;5(20):991–3.
Sidiropoulos G, Siskou E, Koronis S, Tranos P, Gatzioufas Z, Balidis M. Novel Sutureless Scleral Fixated IOL for Inadequate or Absent Capsular Support. Contreras IS, editor. Journal of Ophthalmology. 2022 Jan 25;2022:1–6.
Jacob S, Kumar DA, Rao NK. Scleral fixation of intraocular lenses. Current Opinion in Ophthalmology. 2020 Jan;31(1):50–60.
Reddy JML. Scleral fixation IOL: outcome and complications. J. Evolution Med. Dent. Sci. 2016;5(20): 991-993, DOI: 10.14260/jemds/2016/230
Sevim Kavuncu, Asl?han Esra Omay, Mehmet Hakan T?rh??, Pelin Y?lmazba?. Surgical Indications and Clinical Results of Patients with Exchanged Intraocular Lenses in a Tertiary Eye Hospital. Turk J Ophthalmol 2016;46:156-160
Veshesh Patel, Parastou Pakravan, James Lai, Arjun Watane, Divy Mehra, Tiffany Alyssa Eatz, Nimesh Patel, Nicolas A Yannuzzi, Jayanth Sridhar, Intraocular Lens Exchange: Indications, Comparative Outcomes by Technique, and Complications. 2023:17 941–951
Munir MS, Ramzan M, Arshad M, Nazir S, Ullah MR. Visual Outcome after Sutureless Scleral Fixation of Intraocular Lens (IOL). Pak J Ophthalmol. 2021, 37 (1): 88-91.
Soni D, Karkhur S, Sabarwal S, Sharma B. Commentary: Sutureless fixation of scleral fixated intraocular lens: Relevance and applicability. Indian J Ophthalmol 2020;68:2481-2.
Varma R, Sun J, Torres M, et al. Prevalence of lens opacities in adult Chinese Americans: the Chinese American Eye Study (CHES). Invest Ophthalmol Vis Sci. 2016;57:6692– 6699. DOI:10.1167/iovs.16-20517.
Authors
Copyright (c) 2023 Fatkhati Saida Rahma, Firman S. W., Angela Nurini A, Tri Wahyu W, Supanji, M. Bayu Sasongko
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
