Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery
Background. To evaluate the outcome and complications of transscleral suture-fixated posterior chamber intraocular lens (PCIOL) implantation combined with Ahmed glaucoma valve (AGV) surgery in Asian eyes. Design. This was a retrospective study that included 22 eyes from 22 participants. The surgerie...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/9824035 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549976694063104 |
|---|---|
| author | Nikhel Sachdev Maria Cecilia Aquino Seng Chee Loon Yiong Huak Chan Paul Chew Victor Koh |
| author_facet | Nikhel Sachdev Maria Cecilia Aquino Seng Chee Loon Yiong Huak Chan Paul Chew Victor Koh |
| author_sort | Nikhel Sachdev |
| collection | DOAJ |
| description | Background. To evaluate the outcome and complications of transscleral suture-fixated posterior chamber intraocular lens (PCIOL) implantation combined with Ahmed glaucoma valve (AGV) surgery in Asian eyes. Design. This was a retrospective study that included 22 eyes from 22 participants. The surgeries were performed at Singapore’s National University Hospital. Participants underwent an Ahmed tube surgery, together with transscleral suture-fixated posterior chamber intraocular lens. Main Outcome Measures. Complete success was defined as 6 ≤ intraocular pressure (IOP) ≤ 21 mmHg without medications at the last follow-up visit, with no reoperation required and no progression to no perception of light (NPL). Results. At the last follow-up, there was a significant reduction in mean IOP (22.4 ± 6.5 mmHg versus 13.9 ± 3.9 mmHg; p<0.001) and mean number of intraocular pressure-lowering medications (2.45 ± 1.30 versus 0.05 ± 0.21; p<0.001). There was no significant change in visual acuity [1.43 ± 1.21 (LogMAR) versus 1.09 ± 1.31 (p=0.204)]. Sixteen eyes (72.7%) achieved complete success. The 3 commonest complications were bullous keratopathy, choroidal detachment, and displacement of intraocular lens. Conclusion and Relevance. This technique showed good success for intraocular pressure control and vision preservation. Postoperative complications were relatively common although most were self-limiting. Patients at increased risk of trabeculectomy failure may be suitable for this procedure. |
| format | Article |
| id | doaj-art-144c7b52c73e40f5a0b3bab41cdf4bc1 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-144c7b52c73e40f5a0b3bab41cdf4bc12025-02-03T06:07:56ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/98240359824035Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube SurgeryNikhel Sachdev0Maria Cecilia Aquino1Seng Chee Loon2Yiong Huak Chan3Paul Chew4Victor Koh5Department of Ophthalmology, National University Hospital, 119228, SingaporeDepartment of Ophthalmology, National University Hospital, 119228, SingaporeDepartment of Ophthalmology, National University Hospital, 119228, SingaporeDepartment of Biostatistics, Yong Loo Lin School of Medicine, 119228, SingaporeDepartment of Ophthalmology, National University Hospital, 119228, SingaporeDepartment of Ophthalmology, National University Hospital, 119228, SingaporeBackground. To evaluate the outcome and complications of transscleral suture-fixated posterior chamber intraocular lens (PCIOL) implantation combined with Ahmed glaucoma valve (AGV) surgery in Asian eyes. Design. This was a retrospective study that included 22 eyes from 22 participants. The surgeries were performed at Singapore’s National University Hospital. Participants underwent an Ahmed tube surgery, together with transscleral suture-fixated posterior chamber intraocular lens. Main Outcome Measures. Complete success was defined as 6 ≤ intraocular pressure (IOP) ≤ 21 mmHg without medications at the last follow-up visit, with no reoperation required and no progression to no perception of light (NPL). Results. At the last follow-up, there was a significant reduction in mean IOP (22.4 ± 6.5 mmHg versus 13.9 ± 3.9 mmHg; p<0.001) and mean number of intraocular pressure-lowering medications (2.45 ± 1.30 versus 0.05 ± 0.21; p<0.001). There was no significant change in visual acuity [1.43 ± 1.21 (LogMAR) versus 1.09 ± 1.31 (p=0.204)]. Sixteen eyes (72.7%) achieved complete success. The 3 commonest complications were bullous keratopathy, choroidal detachment, and displacement of intraocular lens. Conclusion and Relevance. This technique showed good success for intraocular pressure control and vision preservation. Postoperative complications were relatively common although most were self-limiting. Patients at increased risk of trabeculectomy failure may be suitable for this procedure.http://dx.doi.org/10.1155/2018/9824035 |
| spellingShingle | Nikhel Sachdev Maria Cecilia Aquino Seng Chee Loon Yiong Huak Chan Paul Chew Victor Koh Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery Journal of Ophthalmology |
| title | Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery |
| title_full | Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery |
| title_fullStr | Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery |
| title_full_unstemmed | Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery |
| title_short | Outcomes and Complications of Scleral-Fixated Intraocular Lens Combined with Ahmed Tube Surgery |
| title_sort | outcomes and complications of scleral fixated intraocular lens combined with ahmed tube surgery |
| url | http://dx.doi.org/10.1155/2018/9824035 |
| work_keys_str_mv | AT nikhelsachdev outcomesandcomplicationsofscleralfixatedintraocularlenscombinedwithahmedtubesurgery AT mariaceciliaaquino outcomesandcomplicationsofscleralfixatedintraocularlenscombinedwithahmedtubesurgery AT sengcheeloon outcomesandcomplicationsofscleralfixatedintraocularlenscombinedwithahmedtubesurgery AT yionghuakchan outcomesandcomplicationsofscleralfixatedintraocularlenscombinedwithahmedtubesurgery AT paulchew outcomesandcomplicationsofscleralfixatedintraocularlenscombinedwithahmedtubesurgery AT victorkoh outcomesandcomplicationsofscleralfixatedintraocularlenscombinedwithahmedtubesurgery |