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Outcomes of scleral-sutured conventional and aniridia intraocular lens implantation performed in a university hospital setting.
[aniridia]
To
evaluate
the
outcomes
of
transscleral
sutured
posterior
chamber
intraocular
lens
(
PC
IOL
)
implantation
.
Public
university
hospital
,
Auckland
,
New
Zealand
.
Retrospective
case
series
.
A
modified
no
-touch
transscleral
sutured
PC
IOL
implantation
technique
with
a
1
-
piece
monofocal
IOL
(
Alcon
CZ
70
BD
)
or
an
aniridia
IOL
(
type
67
G
,
Morcher
)
was
assessed
.
Seventy
-
eight
cases
(
80
.
8
%
men
;
53
.
9
%
aphakic
)
were
identified
.
The
mean
follow-up
was
35
.
5
months
and
the
mean
age
at
surgery
,
41
years
±
21
(
SD
)
.
The
preoperative
corrected
distance
visual
acuity
(
CDVA
)
was
worse
than
6
/
30
in
66
.
7
%
.
Indications
included
ocular
trauma
(
46
.
2
%
)
,
nontraumatic
crystalline
lens
subluxation
(
16
.
7
%
)
,
post-complicated
cataract
surgery
(
10
.
3
%
)
,
idiopathic
IOL
dislocation
(
10
.
3
%
)
,
and
congenital
cataract
/
aphakia
(
10
.
3
%
)
.
An
aniridia
IOL
was
required
in
39
.
7
%
of
eyes
.
There
were
no
significant
intraoperative
complications
in
74
.
4
%
of
eyes
.
Postoperative
complications
included
transient
corneal
edema
(
15
.
4
%
)
,
wound
leak
requiring
resuturing
(
7
.
7
%
)
,
retinal
detachment
(
7
.
7
%
)
,
and
cystoid
macular
edema
(
6
.
4
%
)
.
One
eye
(
1
.
3
%
)
developed
suture
breakage-related
late
IOL
dislocation
.
Overall
,
91
.
3
%
of
eyes
had
improved
visual
acuity
or
were
within
1
line
of
the
presenting
CDVA
.
In
eyes
with
a
guarded
prognosis
,
34
.
8
%
achieved
a
CDVA
of
6
/
12
or
better
and
43
.
5
%
a
CDVA
of
6
/
15
to
6
/
48
.
In
the
better
prognosis
group
,
73
.
9
%
achieved
a
CDVA
of
better
than
6
/
12
and
all
achieved
better
than
6
/
30
.
Scleral-sutured
IOLs
achieved
good
visual
outcomes
in
a
public
hospital
setting
.
The
rate
of
complications
was
moderate
in
this
series
with
a
high
proportion
of
severe
ocular
trauma
and
a
large
percentage
of
aniridia
IOLs
.
No
author
has
a
financial
or
proprietary
interest
in
any
material
or
method
mentioned
.
Diseases
Validation
Diseases presenting
"edema"
symptom
acute rheumatic fever
adrenomyeloneuropathy
aniridia
cadasil
canavan disease
classical phenylketonuria
coats disease
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
erythropoietic protoporphyria
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
inclusion body myositis
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
pleomorphic liposarcoma
systemic capillary leak syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
This symptom has already been validated