Clinical Outcomes of Pars Plana Vitrectomy and Polytetrafluoroethylene (Gore-Tex) Scleral Fixation of a Monofocal Aspheric Intraocular Lens (Akreos AO60)

• Published in: Journal of vitreoretinal diseases (Print) Vol. 8; no. 5; pp. 540 - 545
• Main Authors: Mishra, Amit V., Martens, Rosanna, Loh, Graeme K., Somani, Rizwan, Greve, Mark D.J., Seamone, Mark E.
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-09-2024
• Subjects: secondary IOL; Akreos
• ISSN: 2474-1264; 2474-1272; 2474-1272
• DOI: 10.1177/24741264241260094

Purpose: To evaluate the visual outcomes and complications with a polytetrafluoroethylene (Gore-Tex)-fixated intraocular lens (IOL) (Akreos AO60, Bausch + Lomb). Methods: Eyes with inadequate capsule support for in-the-bag IOL implantation had pars plana vitrectomy (PPV) and IOL placement at a single center. The main outcome measures were the postoperative visual acuity (VA) and complication rates. Results: During the study, 783 surgeries were performed. The mean visual acuity gain was 28.5 Early Treatment Diabetic Retinopathy Study letters (P < .01), with a mean time to best VA of 3.05 months. Statistical hypotony (intraocular pressure <6.5 mm Hg) was present in 214 cases (27.3%), and clinical features of hypotony were present in 46 cases. Five percent of the complications were directly related to the IOL. There were 3 cases of IOL opacification, 2 with silicone oil endotamponade and 1 with perfluoropropane endotamponade. Conclusions: PPV with Akreos IOL implantation was an effective technique for secondary IOL placement. Complications directly related to the IOL were uncommon.