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ORIGINAL RESEARCH article

Front. Med.
Sec. Ophthalmology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1503394
This article is part of the Research Topic New Concepts, Advances, and Future Trends in Clinical Research on Eye Diseases View all 14 articles

Evaluation of a Modified Sutureless Technique for Scleral Fixation of One-Piece Posterior Chamber Intraocular Lens: A Retrospective Study

Provisionally accepted
Mohammadkarim Johari Mohammadkarim Johari alireza attar alireza attar dorna eghtedari dorna eghtedari *Seyed ahmad razavizadegan Seyed ahmad razavizadegan *
  • School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

The final, formatted version of the article will be published soon.

    This study presents the one-year outcomes of a modified technique for transscleral suture fixation of a posterior chamber intraocular lens (PCIOL) in aphakic eyes.A retrospective chart review was conducted on 45 patients who underwent transscleral suture fixation of a foldable one-piece PCIOL through scleral pockets. Preoperative data and follow-up data for a minimum of 12 months were collected for all patients.The mean preoperative and postoperative uncorrected distance visual acuity (UDVA) in LogMAR was 0.54±0.25 and 2.49±0.54, respectively (P<0.01). The mean preoperative and postoperative best-corrected visual acuity (BCVA) in LogMAR was 0.45±0.24 and 0.52±0.22, respectively (P<0.01). The mean endothelial cell loss was 110.46±11.5 cells/mm². Postoperative complications included transient corneal edema (17.7%), transient elevated intraocular pressure (22.2%), and non-significant vitreous hemorrhage (11.1%). No severe complications were observed.The modified technique provides stable PCIOL placement in aphakic eyes with longterm follow-up.

    Keywords: Aphakia, Posterior chamber intraocular lens, scleral pocket, Transscleral suture fixation, hoffman pocket

    Received: 28 Sep 2024; Accepted: 31 Dec 2024.

    Copyright: © 2024 Johari, attar, eghtedari and razavizadegan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    dorna eghtedari, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
    Seyed ahmad razavizadegan, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

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