Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails”
Purpose. To evaluate the efficacy and safety of the following three distinct surgical procedures for secondary IOL implantation without capsular support: Iris-claw lens, flanged transscleral fixated IOLs (Yamane technique), and sutureless transscleral hook IOL fixation (Carlevale IOL). Materials and...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/9933486 |
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| author | Domenico Boccuzzi Date Purva Vincenzo Orfeo Pasquale Napolitano Alessandro Mularoni Aurelio Imburgia Matteo Forlini |
| author_facet | Domenico Boccuzzi Date Purva Vincenzo Orfeo Pasquale Napolitano Alessandro Mularoni Aurelio Imburgia Matteo Forlini |
| author_sort | Domenico Boccuzzi |
| collection | DOAJ |
| description | Purpose. To evaluate the efficacy and safety of the following three distinct surgical procedures for secondary IOL implantation without capsular support: Iris-claw lens, flanged transscleral fixated IOLs (Yamane technique), and sutureless transscleral hook IOL fixation (Carlevale IOL). Materials and Methods. In this retrospective comparative study, three different sutureless IOL implantation techniques were compared in patients without any capsular support. Visual acuity and outcomes were analyzed in 24 eyes of 23 patients (14 male and 9 female). Study included 13 iris-claw lenses (Artisan Ophtec), 6 flanged transscleral fixated IOLs (Yamane technique using a MA60MA Alcon Inc IOL), and 5 transscleral Carlevale IOLS (Carlevale IOL, Soleko, Italy). Results. logMAR mean best-corrected visual acuity (BCVA) improved from 0.49 ± 0.19 to 0.19 ± 0.10 at three months after surgery p<0.05. Postoperative BCVA was similar in all three groups, and no intergroup difference was noted. Three eyes (12.5%) had a raised IOP >25 mmHg, 2 eyes (8%) presented a subluxated/dislocated IOL, 4 eyes (16%) had corneal edema longer than 7 days, 3 eyes (12.5%) had irregular pupil profile, 2 eyes (8%) had vitreous hemorrhage, 7 eyes had (29%) corneal astigmatism over 3 diopters, and one patient (4%) developed cystoid macular edema (CME). Conclusions. All three surgical procedures can be considered adequate to correct aphakia in patients without capsular support with significant improvement in visual acuity and low complication. |
| format | Article |
| id | doaj-art-7884997299df4818a237e05f60c8f4cd |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-7884997299df4818a237e05f60c8f4cd2025-08-20T02:07:30ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/99334869933486Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails”Domenico Boccuzzi0Date Purva1Vincenzo Orfeo2Pasquale Napolitano3Alessandro Mularoni4Aurelio Imburgia5Matteo Forlini6Ophthalmology Unit “Clinica Mediterranea”, Naples, ItalyValvekar Medical & Research Centre, Solapur, IndiaOphthalmology Unit “Clinica Mediterranea”, Naples, ItalyDepartment of Medicine and Health Sciences “V. Tiberio”, University of Molise, Campobasso, ItalyDepartment of Ophthalmology, San Marino State Hospital, San Marino, ItalyDepartment of Ophthalmology, San Marino State Hospital, San Marino, ItalyDepartment of Ophthalmology, San Marino State Hospital, San Marino, ItalyPurpose. To evaluate the efficacy and safety of the following three distinct surgical procedures for secondary IOL implantation without capsular support: Iris-claw lens, flanged transscleral fixated IOLs (Yamane technique), and sutureless transscleral hook IOL fixation (Carlevale IOL). Materials and Methods. In this retrospective comparative study, three different sutureless IOL implantation techniques were compared in patients without any capsular support. Visual acuity and outcomes were analyzed in 24 eyes of 23 patients (14 male and 9 female). Study included 13 iris-claw lenses (Artisan Ophtec), 6 flanged transscleral fixated IOLs (Yamane technique using a MA60MA Alcon Inc IOL), and 5 transscleral Carlevale IOLS (Carlevale IOL, Soleko, Italy). Results. logMAR mean best-corrected visual acuity (BCVA) improved from 0.49 ± 0.19 to 0.19 ± 0.10 at three months after surgery p<0.05. Postoperative BCVA was similar in all three groups, and no intergroup difference was noted. Three eyes (12.5%) had a raised IOP >25 mmHg, 2 eyes (8%) presented a subluxated/dislocated IOL, 4 eyes (16%) had corneal edema longer than 7 days, 3 eyes (12.5%) had irregular pupil profile, 2 eyes (8%) had vitreous hemorrhage, 7 eyes had (29%) corneal astigmatism over 3 diopters, and one patient (4%) developed cystoid macular edema (CME). Conclusions. All three surgical procedures can be considered adequate to correct aphakia in patients without capsular support with significant improvement in visual acuity and low complication.http://dx.doi.org/10.1155/2021/9933486 |
| spellingShingle | Domenico Boccuzzi Date Purva Vincenzo Orfeo Pasquale Napolitano Alessandro Mularoni Aurelio Imburgia Matteo Forlini Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails” Journal of Ophthalmology |
| title | Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails” |
| title_full | Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails” |
| title_fullStr | Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails” |
| title_full_unstemmed | Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails” |
| title_short | Supporting IOL’S in a Deficient Capsular Environment: The Tale of No “Tails” |
| title_sort | supporting iol s in a deficient capsular environment the tale of no tails |
| url | http://dx.doi.org/10.1155/2021/9933486 |
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