Long-term functional outcome between Yamane technique and retropupillary iris-claw technique in a large study cohort

被引：5
作者：
Guerin, Pier Luigi [1 ]
Guerin, Gian Marco [1 ]
Pastore, Marco Rocco [1 ]
Gouigoux, Stefano [1 ]
Tognetto, Daniele [1 ]
机构：
[1] Univ Trieste, Dept Med Surg Sci & Hlth, Eye Clin, Piazza Ospitale 1, I-34129 Trieste, Italy
来源：
JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2024年 / 50卷 / 06期
关键词：
INTRAOCULAR-LENS FIXATION; VISUAL-ACUITY; DISLOCATION; MANAGEMENT; IMPLANTATION;
D O I：
10.1097/j.jcrs.0000000000001421
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose: To evaluate which secondary intraocular lens (IOL) implantation technique was more successful in achieving the best postoperative results and refractive outcomes between retropupillary iris-claw IOL (ICIOL) and flanged intrascleral IOL (FIIOL) fixation with the Yamane technique. Setting: Eye Clinic of the University of Trieste, Trieste, Italy. Design: Retrospective observational study. Methods: 116 eyes of 110 patients who underwent ICIOL or FIIOL were analyzed. Patients with follow-up shorter than 6 months or with incomplete clinical data were excluded. Collected data included demographics, ocular comorbidity, indication of surgery, intraocular pressure, early (<= 1 month) and late (>1 month) postoperative complications, corrected distance visual acuity (CDVA), and manifest refraction at the last follow-up visit. Results: 50% (n = 58) of eyes underwent FIIOL and 50% (n = 58) ICIOL implantation for aphakia (n = 44, 38%) and IOL dislocation (n = 72, 62%). No statistically significant differences in demographics, comorbidity, follow-up duration, postoperative complications, and surgical indications were found. The refractive prediction error (RPE) was 0.69 +/- 0.94 diopter (D) in the FIIOL group and 0.21 +/- 0.75 D in the ICIOL group (P = .03), indicating residual hyperopia after both techniques. RPE, mean absolute error, and median absolute error were higher in the FIIOL group (P = .003). ICIOL implantation was more successful in obtaining a RPE between -0.50 D and +0.50 D (52% of ICIOL, n = 30, and 31% of FIIOL, n = 18). Conclusions: Both techniques were effective in increasing preoperative CDVA with no statistical difference between them. Although complication rates did not significantly differ, the FIIOL group exhibited less predictable refractive outcomes. Adjusting the dioptric power of the 3-piece IOL, as performed in ciliary sulcus implantation, to prevent myopic shift, is not recommended.
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页码：605 / 610
页数：6
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共 30 条
  • [1] Gimbel H.V., Condon G.P., Kohnen T., Olson R.J., Halkiadakis I., Late in-the-bag intraocular lens dislocation: Incidence, prevention, and management, J Cataract Refract Surg, 31, pp. 2193-2204, (2005)
  • [2] Thulasidas M., Retropupillary iris-claw intraocular lenses: A literature review, Clin Ophthalmol, 15, (2021)
  • [3] Kristianslund O., Raen M., Ostern A.E., Drolsum L., Late in-the-bag intraocular lens dislocation: A randomized clinical trial comparing lens repositioning and lens exchange, Ophthalmology, 124, pp. 151-159, (2017)
  • [4] Brunin G., Sajjad A., Kim E.J., Montes De Oca I., Weikert M.P., Wang L., Koch D.D., Al-Mohtaseb Z., Secondary intraocular lens implantation: Complication rates, visual acuity, and refractive outcomes, J Cataract Refract Surg, 43, pp. 369-376, (2017)
  • [5] Wagoner M.D., Cox T.A., Ariyasu R.G., Jacobs D.S., Karp C.L., Intraocular lens implantation in the absence of capsular support: A report by the American Academy of Ophthalmology, Ophthalmology, 110, pp. 840-859, (2003)
  • [6] Dajee K.P., Abbey A.M., Williams G.A., Management of dislocated intraocular lenses in eyes with insufficient capsular support, Curr Opin Ophthalmol, 27, pp. 191-195, (2016)
  • [7] Madhivanan N., Sengupta S., Sindal M., Nivean P.D., Kumar M.A., Ariga M., Comparative analysis of retropupillary iris claw versus scleral-fixated intraocular lens in the management of post-cataract aphakia, Indian J Ophthalmol, 67, (2019)
  • [8] Czajka M.P., Frajdenberg A., Stopa M., Pabin T., Johansson B., Jakobsson G., Sutureless intrascleral fixation using different three-piece posterior chamber intraocular lenses: A literature review of surgical techniques in cases of insufficient capsular support and a retrospective multicentre study, Acta Ophthalmol, 98, pp. 224-236, (2020)
  • [9] Yamane S., Sato S., Maruyama-Inoue M., Kadonosono K., Flanged intrascleral intraocular lens fixation with double-needle technique, Ophthalmology, 124, pp. 1136-1142, (2017)
  • [10] Su D., Stephens J.D., Obeid A., Borkar D., Storey P.P., Khan M.A., Hsu J., Garg S.J., Gupta O., Refractive outcomes after pars plana vitrectomy and scleral fixated intraocular lens with Gore-Tex suture, Ophthalmol Retina, 3, pp. 548-552, (2019)
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