Comparison between sutureless and sutured scleral fixation posterior chamber intraocular lenses

Session Details

Session Title: Cataract Surgery Outcomes and Complications

Session Date/Time: Monday 07/09/2015 | 14:30-16:00

Paper Time: 15:42

Venue: Room 17

First Author: : Y.Hassan JAPAN

Co Author(s): :    A. Fujikawa                    

Abstract Details

Purpose:

To compare the outcomes between sutureless and sutured sclera fixation of posterior chamber intraocular lenses (IOL) and also comparing both with usual endocapsular IOL implantation.

Setting:

Retrospective comparative study from February to November 2014 in Nagasaki University Hospital, Japan for consecutive case series by the same surgeon.

Methods:

Sixty two cases (62 eyes) included in this study distributed as follow: 18 eyes had suturless scleral fixation, 18 eyes had sutured scleral fixation, and 26 eyes had usual endocapsular IOL. Evaluation of postoperative outcome of the three groups especially as regards visual acuity improvement, postoperative intraocular lens astigmatism (the difference between the total astigmatism and corneal astigmatism), corneal endothelial cell density, IOL tilt, and other complications were determined.

Results:

There were no statistically significant differences between all groups as regards best corrected visual acuity (BCVA) after three months of follow up. The average postoperative intraocular lens astigmatism of sutureless scleral fixation was (1.18 ± 0.23D), Sutured group (0.72 ± 0.15D), and in ordinary endocapsular group (0.67 ± 0.17D), with no statistically significant differences between the three groups. The mean corneal endothelial reduction rate of sutureless scleral fixation group (2.36 ± 5.34%), Sutured group (6.14 ± 3.46%), and in the ordinary group (3.56 ± 2.90%) with also no significant difference between any of these groups. All groups had no postoperative intraocular lens iris capture or major postoperative complications.

Conclusions:

Both sutured and sutureless scleral fixation techniques are good for implantation of an intraocular lens in an eye without sufficient capsular support. Further study with big number and long term follow up is needed to confirm these results.

Financial Interest:

NONE