Long term surgical results and safety profile of the novel CM T Flex scleral fixated intraocular lens.

Autor: Madhivanan N; Cataract and Vitreoretinal Services, MN Eye Hospital, Chennai, India. Nivean69@gmail.com., Nivean PD; Orbit & Oculoplasty Services, MN Eye Hospital, Chennai, India., Singh V; Vitreoretinal Services, Sohan Singh Eye Hospital, Amritsar, India., Singh H; Vitreoretinal Services, Sohan Singh Eye Hospital, Amritsar, India., Arthi M; Cataract Services, JB Eye Hospital, Salem, India., Madanagopalan VG; Vitreoretinal Services, Arasan Eye Hospital, Erode, India. drmadanagopalan@gmail.com.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2024 Jul 13; Vol. 44 (1), pp. 327. Date of Electronic Publication: 2024 Jul 13.
DOI: 10.1007/s10792-024-03167-w
Abstrakt: Purpose: To report the long term visual outcomes and complications with use of the novel CM-T Flex scleral fixated intraocular lens (CMT-SFIOL).
Materials and Methods: 116 eyes that underwent CMT-SFIOL were reviewed and 57 eyes with CMT-SFIOL that completed a 2-year follow-up were included. Main outcome measures noted were best-corrected visual acuity (BCVA) and complications. Postoperatively, follow-ups were done at 1 week (1w), 1 month (1 m), 1 year (1y) and 2-year (2y) intervals.
Results: 40 (70.17%) of 57 eyes received CMT-SFIOL for surgical aphakia. Mean follow up was 39.77 ± 8.44 months. BCVA for distance & near improved from 1.26 ± 0.84 to 0.76 ± 0.77, 0.50 ± 0.72 and 0.51 ± 0.73 & 1.28 ± 0.58 to 0.98 ± 0.49, 0.92 ± 0.44 and 0.89 ± 0.40 at 1 m, 1y and 2y respectively (p < 0.001 for all). At 1w, 10 eyes (17.54%) had corneal edema (CE) and 8 eyes (14.03%) had anterior chamber (AC) reaction. Two eyes (3.50%) had IOP > 30 mm Hg and 1 eye (1.75%) had vitreous hemorrhage (VH). At 1 m, 3 eyes (5.26%) had CE and 5 eyes (8.77%) had AC reaction. Two eyes (3.50%) had IOP > 30 mm Hg and 1 eye (1.75%) had VH. Cystoid macular edema was noted in 3 eyes (5.26%). At 1y and 2y, 2 eyes (3.5%) and 1 eye (1.75%), had CE. No decentration, dislocation, haptic exposure or retinal detachment was noted. No eyes required resurgery.
Conclusion: CM-T Flex SFIOL is an effective method to correct aphakia, with reliable and safe long-term results.
(© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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