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KMID : 0360220210620091189
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Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 9 p.1189 ~ p.1197
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Outcomes of Re-fixation after the First Intraocular Lens Scleral Fixation
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Nah Seung-Kwan
Kim Jong-Woo
Kim Chul-Gu
Kim Jae-Hui
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Abstract
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Purpose: To investigate the outcomes of re-fixation after the first intraocular lens (IOL) scleral fixation.
Methods: We retrospectively reviewed the charts of patients who underwent second IOL scleral fixation and vitrectomy for dislocation of IOL after the first IOL scleral fixation. We compared the best-corrected visual acuity (BCVA) and spherical equivalent (SE) after 1 month of the first and second surgery, and noted the complications.
Results: We included 21 eyes that underwent second IOL scleral fixation: 13 eyes (61.9%) with IOL exchange and eight (38.1%) with one-haptic fixation. Mean BCVAs (LogMAR) were 0.17 ± 0.25 and 0.11 ± 0.23 after the first and second surgery, respectively (p = 0.073); mean SEs were -0.94 ± 1.69 and -0.58 ± 1.46 diopters after the first and second surgery, respectively (p = 0.076). Postoperative complications occurred in eight eyes (38.1%), including temporarily increased intraocular pressure and suture knots exposure. However, none of the complications required re-operation.
Conclusions: The outcomes of primary and secondary IOL fixation were similar, and there were no serious complications of the second surgery.
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KEYWORD
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Dislocation, Intraocular lens, Refixation, Scleral fixation
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