REFRACTIVE OUTCOMES AFTER SUTURELESS INTRASCLERAL FIXATION OF INTRAOCULAR LENS WITH PARS PLANA VITRECTOMY.

Autor:	Lee R; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Govindaraju V; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Farley ND; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Abbey AM; Texas Retina Associates, Dallas, Texas; and., Stem MS; Pennsylvania Retina Specialists, P.C., Camp Hill, Pennsylvania., Shields RA; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Wa CA; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Williams GA; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Faia LJ; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Hassan TS; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan., Wolfe JD; Associated Retinal Consultants, P.C., Royal Oak, Michigan.; Oakland University William Beaumont School of Medicine, Royal Oak, Michigan.
Jazyk:	angličtina
Zdroj:	Retina (Philadelphia, Pa.) [Retina] 2021 Apr 01; Vol. 41 (4), pp. 822-826.
DOI:	10.1097/IAE.0000000000002916
Abstrakt:	Purpose: To evaluate the refractive outcomes of sutureless intrascleral fixation of intraocular lens with pars plana vitrectomy. Method: A retrospective, consecutive cohort from multiple surgeons of a single center. Primary outcomes included spherical equivalent (SEQ) and change in SEQ (ΔSEQ) from preoperative intraocular lens power calculations. Secondary outcomes included refractive outcomes of fixation at 1.5 mm, 2 mm, and 2.5 mm posterior to the limbus. Results: In total, 84 eyes of 80 patients were included. Preoperative logarithm of the minimum angle of resolution visual acuity was 1.21 ± 0.68 (20/320). The mean follow-up time was 2.33 ± 1.36 years. At 3 months, SEQ was -0.50 ± 1.59 D and ΔSEQ was 0.58 ± 1.49 D. At 1 year, SEQ was -0.55 ± 1.32 D and ΔSEQ was 0.39 ± 1.42 D. At the last follow-up, logarithm of the minimum angle of resolution visual acuity was 0.34 ± 0.34 (20/40), SEQ was -0.51 ± 1.44 D, and ΔSEQ was 0.57 ± 1.27 D. There was no difference between SEQ or ΔSEQ throughout follow-up (P = 0.97 and P = 0.96, respectively). At fixation distances more posterior to the limbus, mean ΔSEQ was more hyperopic at 3 months, 1-year, and the last follow-up (P = 0.02, P = 0.01, and P = 0.006, respectively). Conclusion: Refractive outcomes for sutureless intrascleral fixation of intraocular lens with pars plana vitrectomy were favorable and showed stability postoperatively. These results may aid surgeons achieve better desired refractive outcomes for this technique.
Databáze:	MEDLINE
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