The Technique Of Suture Fixation Of The Capsular Bag Using An Intracapsular Implant With Endoscopic Control: A Clinical Case Series
Published 2025 - 43rd Congress of the ESCRS
Reference: PO310 | Type: Free paper | DOI: 10.82333/xe5a-m145
Authors: Patricia Ioschpe Gus* 1 , Rodrigo Pellegrini 2 , Larissa Ruela de Oliveira 3 , Eduardo Rott 3 , Gabriela Grossi 4 , Vanessa Leite 3
1Ophthalmology,Hospital de Clínicas de Porto Alegre,Porto Alegre,Brazil;Ophthalmology,Centro de Miopia & Ceratocone,Porto Alegre,Brazil, 2Hospital de Clínicas de Porto Alegre,Porto Alegre,Brazil, 3Medicine,Universidade Federal do Rio Grande do Sul,Porto Alegre,Brazil, 4Medicine,Feevale,Novo Hamburgo,Brazil
Purpose
To study the effectiveness of suture fixation of the capsular bag using intracapsular implants of Prof. Mykola Sergienko's model with endoscopic control.
Setting
Surgical treatment has taken place in the Ophthalmosurgical center "Noviy Zir", Kyiv, Ukraine.
Methods
16 patients (16 eyes) were under observation; their diagnosis was cataract (nucleus 1–3 according to the Buratto classification) with pseudoexfoliation syndrome.
The first group (8 eyes) underwent a standard phacoemulsification technique with the implantation of a monofocal IOL and suture fixation of the capsular bag.
The second group (8 eyes) underwent the same surgery with endoscopic control. After standard phacoemulsification and implantation of the IOL, the next step was entering the endoscope, and controlling the IOL location. The intracapsular implant (hooks) was inserted into the capsular bag; suture fixation through the ciliary sulcus of the bag with the implant. The location of the hooks was controlled by an endoscope.
Results
On the 1st day after surgery, in the first group BCVA was 20/50 (12.5%, 1 eye), 20/30 (62.5%, 5 eyes), 20/25 (25%, 2 eyes); there were 2 cases of ocular hypertension (25%); 1 case of hyphema (12.5%); in the second group BCVA was 20/30 (50%, 4 eye), 20/25 (25%, 2 eyes), 20/20 (25%, 2 eyes). No other early postoperative complications were observed.
In the 1st month after surgery, in the first group BCVA was 20/30 (50%, 4 eyes), 20/25 (25%, 2 eyes), 20/20 (25%, 2 eyes); in the second group BCVA was 20/25 (37.5%, 3 eyes), 20/20 (62.5%, 5 eyes). No other late postoperative complications were observed.
Conclusions
The endoscopic-assisted surgery allows for control over the position of the intracapsular implant and the area of suture application, ensuring optimal centration of the IOL and helping reduce the number of postoperative complications.
The endoscopic-assisted surgery group demonstrated better visual acuity than the control group.
Both groups of patients are under continued observation.
The use of endoscopic-assisted surgery is promising and requires further integration into the practice.