KMID : 0360220230640050387
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Journal of the Korean Ophthalmological Society 2023 Volume.64 No. 5 p.387 ~ p.395
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Comparison of Surgical Outcomes between Conventional Sutured Scleral Fixation and Flanged Intrascleral Intraocular Lens Fixation
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Jo Gwon-Hui
Seo Eoi-Jong Jung Moon-Sun Kim Kyung-Tae
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Abstract
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Purpose: We compared the surgical outcomes and complications of conventional, sutured scleral fixation and flanged intrascleral intraocular lens (IOL) fixation.
Methods: We retrospectively analyzed the medical records of patients who underwent conventional, sutured scleral fixation or flanged intrascleral IOL fixation and who were then observed for more than 6 months. The best-corrected visual acuity (BCVA), operation time, spherical equivalent (SEQ), astigmatism, and postoperative complications were recorded up to 6 months after surgery.
Results: Of sixty-nine enrolled eyes, 39 underwent conventional, sutured scleral fixation (¡°sutured¡± group) and 30 flanged intrascleral IOL fixation (¡°sutureless¡± group). The operation time was significantly shorter in the sutureless group than in the sutured group (56.3 ¡¾ 11.8 vs. 77.7 ¡¾ 17.9 minutes, p < 0.001). In both groups, the BCVA and SEQ improved significantly at all visits after surgery compared to the baseline values p < 0.05). There was no between-group difference in BCVA, SEQ, astigmatism, or complications.
Conclusions: Compared to conventional, sutured scleral fixation, flanged intrascleral IOL fixation afforded equivalent improvements in visual acuity but with a shorter surgical duration. Therefore, flanged intrascleral IOL fixation is a useful alternative to conventional, sutured scleral fixation.
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KEYWORD
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Dislocation, Intraocular lens, Scleral fixation
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