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Visual outcomes and stability of transscleral-sutured intraocular lenses in children

Poster Details

First Author: M.Diaab SEYCHELLES

Co Author(s):    S. Eissa              

Abstract Details

Purpose:

Transscleral-sutured intraocular lenses have been shown to improve visual outcomes, but there is concern about suture-breakage and long-term stability. Average follow-up in most of the literature is less than 3 years. The purpose of this study to assess long term-stability and visual outcomes in the use of scleral-sutured intraocular lenses in pediatric patients with no capsular support

Setting:

Magrabi hospital Damam KSA

Methods:

A long-term retrospective case series review of 30 eyes of 19 children who had a sutured IOL at University Wisconsin, Madison with 10-0 prolene. Outcome measures included postoperative best-corrected visual acuity (BCVA), intra-operative and post-operative complications of surgery

Results:

The average follow-up was 6.4 years. All eyes had vision 20/60 or better, with 81.3% of eyes having vision better than 20/40. 2 eyes required corneal patch grafts, 1 eye required IOL repositioning, 1 eye had vitreous hemorrhage, 1 eye had hyphema, and 2 eyes had a suture that broke and required reoperation.

Conclusions:

Discussion: There is limited data regarding long-term stability of scleral-sutured IOLs. There are well-grounded fears that given enough time, the sutures will eventually break. It is reassuring that at least in the first 7 years, there seem to be good visual outcomes and minimal complications with this procedure. Conclusion: Transscleral-sutured intraocular lenses are able to improve vision. Moderate follow-up data shows 10-0 prolene sutures seem to be stable with an average followup of nearly 7 years.

Financial Disclosure:

NONE

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