IOL repositioning using iris sutures: a safe and effective technique.

Abstract

This retrospective non-comparative consecutive case series study was conducted at Azienda Ospedaliera Universitaria Careggi, Florence, Italy and describes a useful intraocular lens (IOL) repositioning technique using iris sutures. In our study, 41 consecutive cases of posteriorly dislocated IOLs were surgically treated between January 2015 and May 2017. Six of the cases were post-traumatic luxations, and 20 patients had pseudoexfoliation syndrome. All the patients underwent pars plana vitrectomy and same IOL repositioning using iris sutures. The mean follow-up was 12.2mo. The mean preoperative best corrected visual acuity (BCVA) was 0.10±0.15 logMAR, whereas the mean postoperative BCVA was 0.08±0.14 logMAR. The mean postoperative BCVA did not change significantly from the preoperative BCVA. The final mean spherical equivalent was -0.44±0.49 SD. Three lenses (7.31%) were found tilted during post-operative follow-up. Two eyes (4.87%) had postoperative cystoid macular edema. No eyes had endophthalmitis, hypotony, retinal or choroidal detachment. The iris fixation technique seems to be a safe and valid option for the management of dislocated IOLs.

• Authors: Tomaso Caporossi, Ruggero Tartaro, Fabrizio Gs Franco, Francesco Barca, Lucia Finocchio, Daniela Bacherini, Dario Giorgio, Fabrizio Giansanti, Stanislao Rizzo
• Journal: International journal of ophthalmology (Int J Ophthalmol) Vol. 12 Issue 12 Pg. 1972-1977 ( 2019) ISSN: 2222-3959 [Print] China
• PMID: 31850184 (Publication Type: Journal Article)
• Copyright: International Journal of Ophthalmology Press.