Scleral fixation of a single-piece foldable acrylic IOL through a 1.80 mm corneal incision
A new scleral fixation technique of a single-piece acrylic foldable intraocular lens (IOL) (enVista MX60, Bausch & Lomb, Inc.) through a 1.80 mm corneal incision, using the IOL eyelets as anchoring point, is described. It was a retrospective review of 26 cases. The preoperative mean corrected di...
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| Published in: | Journal of cataract and refractive surgery Vol. 46; no. 5; pp. 662 - 666 |
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01-05-2020
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| Abstract | A new scleral fixation technique of a single-piece acrylic foldable intraocular lens (IOL) (enVista MX60, Bausch & Lomb, Inc.) through a 1.80 mm corneal incision, using the IOL eyelets as anchoring point, is described. It was a retrospective review of 26 cases. The preoperative mean corrected distance visual acuity was 0.51 ± 0.21 logarithm of the minimum angle of resolution (logMAR). It improved significantly to 0.25 ± 0.27 logMAR (P < .01), 0.18 ± 0.16 logMAR (P < .01), and 0.17 ± 0.16 logMAR (P < .01) (at 1 month, 3 months, and 6 months postoperatively, respectively, repeated measures analysis of variance, P < .0001). No astigmatism increase of more than 0.75 diopters was recorded at any time point. In all 26 patients, the IOL was well centered and stable for the entire monitoring period. No complications were observed during follow-up. Scleral fixation of the foldable IOL through a 1.80 mm corneal incision provided excellent IOL stability during the 6-month follow-up of this study and might be an effective and safe surgical technique. |
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| AbstractList | A new scleral fixation technique of a single-piece acrylic foldable intraocular lens (IOL) (enVista MX60, Bausch & Lomb, Inc.) through a 1.80 mm corneal incision, using the IOL eyelets as anchoring point, is described. It was a retrospective review of 26 cases. The preoperative mean corrected distance visual acuity was 0.51 ± 0.21 logarithm of the minimum angle of resolution (logMAR). It improved significantly to 0.25 ± 0.27 logMAR (
P
< .01), 0.18 ± 0.16 logMAR (
P
< .01), and 0.17 ± 0.16 logMAR (
P
< .01) (at 1 month, 3 months, and 6 months postoperatively, respectively, repeated measures analysis of variance,
P
< .0001). No astigmatism increase of more than 0.75 diopters was recorded at any time point. In all 26 patients, the IOL was well centered and stable for the entire monitoring period. No complications were observed during follow-up. Scleral fixation of the foldable IOL through a 1.80 mm corneal incision provided excellent IOL stability during the 6-month follow-up of this study and might be an effective and safe surgical technique. A new scleral fixation technique of a single-piece acrylic foldable intraocular lens (IOL) (enVista MX60, Bausch & Lomb, Inc.) through a 1.80 mm corneal incision, using the IOL eyelets as anchoring point, is described. It was a retrospective review of 26 cases. The preoperative mean corrected distance visual acuity was 0.51 ± 0.21 logarithm of the minimum angle of resolution (logMAR). It improved significantly to 0.25 ± 0.27 logMAR (P < .01), 0.18 ± 0.16 logMAR (P < .01), and 0.17 ± 0.16 logMAR (P < .01) (at 1 month, 3 months, and 6 months postoperatively, respectively, repeated measures analysis of variance, P < .0001). No astigmatism increase of more than 0.75 diopters was recorded at any time point. In all 26 patients, the IOL was well centered and stable for the entire monitoring period. No complications were observed during follow-up. Scleral fixation of the foldable IOL through a 1.80 mm corneal incision provided excellent IOL stability during the 6-month follow-up of this study and might be an effective and safe surgical technique. |
| Author | Samassa, Francesco Grego, Lisa Lanzetta, Paolo Sarao, Valentina Veritti, Daniele |
| Author_xml | – sequence: 1 givenname: Daniele surname: Veritti fullname: Veritti, Daniele organization: From the Department of Medicine-Ophthalmology, University of Udine (Veritti, Grego, Samassa, Sarao, Lanzetta), and Istituto Europeo di Microchirurgia Oculare (Veritti, Sarao, Lanzetta), Udine, Italy – sequence: 2 givenname: Lisa surname: Grego fullname: Grego, Lisa – sequence: 3 givenname: Francesco surname: Samassa fullname: Samassa, Francesco – sequence: 4 givenname: Valentina surname: Sarao fullname: Sarao, Valentina – sequence: 5 givenname: Paolo surname: Lanzetta fullname: Lanzetta, Paolo |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32358257$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3928/15428877-20060501-13 10.1016/j.ajo.2018.01.034 10.2147/OPTH.S56135 10.1001/archopht.1987.01060010058031 10.3928/15428877-20070101-14 10.1016/j.jcrs.2009.07.025 10.1097/00004397-199403430-00009 10.1016/j.jcrs.2009.11.030 10.1016/j.jcrs.2015.09.005 10.1016/j.jcrs.2006.10.073 10.1016/j.jcrs.2003.09.050 10.2147/OPTH.S50499 10.1016/j.jcrs.2016.06.018 10.1177/2474126417690650 10.3928/1542-8877-20020501-19 10.1097/00055735-200102000-00009 10.1016/j.jcjo.2015.07.006 10.1016/j.jcrs.2011.02.023 10.1016/j.survophthal.2005.06.010 10.1186/s12886-015-0118-8 10.3129/can.j.ophthalmol.i07-003 10.1016/j.jcrs.2018.09.020 10.1136/bjophthalmol-2015-306839 10.1016/S0161-6420(91)32275-9 10.3928/15428877-20100303-19 10.1016/S0886-3350(13)80040-5 10.3928/1542-8877-19960601-14 |
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| References | 33149077 - J Cataract Refract Surg. 2020 Nov;46(11):1578 Yepez (R17-20230819) 2006; 37 Choi (R18-20230819) 2010; 41 Packer (R20-20230819) 2013; 7 Morkin (R27-20230819) 2019; 45 Lindquist (R4-20230819) 1989; 20 Michaeli-Cohen (R12-20230819) 2002; 33 Kokame (R28-20230819) 2018; 189 Por (R3-20230819) 2005; 50 Mccluskey (R25-20230819) 1994; 20 Dick (R1-20230819) 2001; 12 Stem (R24-20230819) 2017; 1 Smith (R23-20230819) 1987; 105 Taskapili (R19-20230819) 2007; 42 Heiner (R21-20230819) 2014; 8 Yaguchi (R15-20230819) 2009; 35 Khan (R29-20230819) 2016; 100 Mcallister (R26-20230819) 2011; 37 Szurman (R14-20230819) 2007; 38 Wallmann (R6-20230819) 2015; 41 Long (R5-20230819) 2015; 15 Regillo (R8-20230819) 1996; 27 Steinert (R11-20230819) 1991; 98 Kaynak (R13-20230819) 2004; 30 Monteiro (R2-20230819) 2007; 33 Liu (R10-20230819) 2016; 9 Yang (R22-20230819) 2015; 50 Das (R9-20230819) 2016; 42 Kim (R16-20230819) 2010; 36 Arkin (R7-20230819) 1994; 34 |
| References_xml | – volume: 37 start-page: 247 year: 2006 ident: R17-20230819 article-title: Surgical technique for transscleral fixation of a foldable posterior chamber intraocular lens publication-title: Ophthalmic Surg Lasers Imaging doi: 10.3928/15428877-20060501-13 contributor: fullname: Yepez – volume: 189 start-page: 10 year: 2018 ident: R28-20230819 article-title: Long-term outcome of pars plana vitrectomy and sutured scleral-fixated posterior chamber intraocular lens implantation or repositioning publication-title: Am J Ophthalmol doi: 10.1016/j.ajo.2018.01.034 contributor: fullname: Kokame – volume: 8 start-page: 629 year: 2014 ident: R21-20230819 article-title: Safety and effectiveness of a single-piece hydrophobic acrylic intraocular lens (enVista®)—results of a European and Asian-Pacific study publication-title: Clin Ophthalmol doi: 10.2147/OPTH.S56135 contributor: fullname: Heiner – volume: 105 start-page: 52 year: 1987 ident: R23-20230819 article-title: Complications of 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| SubjectTerms | Acrylic Resins Aged Aged, 80 and over Cornea - surgery Female Humans Lens Implantation, Intraocular - methods Lenses, Intraocular Male Microsurgery - methods Middle Aged Pseudophakia - physiopathology Retrospective Studies Sclera - surgery Suture Techniques Visual Acuity - physiology |
| Title | Scleral fixation of a single-piece foldable acrylic IOL through a 1.80 mm corneal incision |
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