Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome
Purpose. To report the outcome of sutured intrascleral posterior chamber intraocular lens (PC IOL) fixation with ciliary sulcus location guided by ultrasonic biological microscopy (UBM). Methods. Patients who underwent a sutured intrascleral PC IOL fixation were reviewed and divided into four groups...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/5843410 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565851227684864 |
|---|---|
| author | Ya Qu Ping Duan Shujia Huo Fuliang Li Jiawen Li |
| author_facet | Ya Qu Ping Duan Shujia Huo Fuliang Li Jiawen Li |
| author_sort | Ya Qu |
| collection | DOAJ |
| description | Purpose. To report the outcome of sutured intrascleral posterior chamber intraocular lens (PC IOL) fixation with ciliary sulcus location guided by ultrasonic biological microscopy (UBM). Methods. Patients who underwent a sutured intrascleral PC IOL fixation were reviewed and divided into four groups. In group 1, the traditional sulcus fixation (2 mm from limbus) of IOL was performed. In groups 2, 3, and 4, UBM was performed before surgery to locate the position of the ciliary sulcus as the haptics insertion position. IOL power was selected by decreasing the calculated value of the IOL power by 1.0 D, 1.0 D, 0.5 D, and 0.0 D, respectively. Results. Sixty-one patients (63 eyes) were included in the four groups. After 4.1 ± 3.0 months’ follow-up, the postsurgery spherical equivalent (SE) was 0.73 ± 1.86, 0.71 ± 0.84, 1.14 ± 0.45, and 0.07 ± 0.89 diopters (D), respectively. Statistical significance was reached for the postsurgery SE with target refraction between group 1 (p=0.027, <0.05), group 2 (p=0.003, <0.01), and group 3 (p=0.017, <0.05). No significant difference existed for the postsurgery SE with target refraction in group 4 (p=0.779, >0.05), and the postsurgery SE in group 4 was the nearest to target refraction. Conclusion. Intrascleral PC IOL fixation guided by UBM is helpful for locating the ciliary sulcus and satisfactory visual outcomes with a predictable IOL power calculation. |
| format | Article |
| id | doaj-art-45f56a5ac863410bb024c11c4777fb02 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-45f56a5ac863410bb024c11c4777fb022025-02-03T01:06:23ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/58434105843410Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive OutcomeYa Qu0Ping Duan1Shujia Huo2Fuliang Li3Jiawen Li4Southwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University), 30th Gaotanyan Street, Shapingba, Chongqing 400038, ChinaSouthwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University), 30th Gaotanyan Street, Shapingba, Chongqing 400038, ChinaSouthwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University), 30th Gaotanyan Street, Shapingba, Chongqing 400038, ChinaSouthwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University), 30th Gaotanyan Street, Shapingba, Chongqing 400038, ChinaSouthwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University), 30th Gaotanyan Street, Shapingba, Chongqing 400038, ChinaPurpose. To report the outcome of sutured intrascleral posterior chamber intraocular lens (PC IOL) fixation with ciliary sulcus location guided by ultrasonic biological microscopy (UBM). Methods. Patients who underwent a sutured intrascleral PC IOL fixation were reviewed and divided into four groups. In group 1, the traditional sulcus fixation (2 mm from limbus) of IOL was performed. In groups 2, 3, and 4, UBM was performed before surgery to locate the position of the ciliary sulcus as the haptics insertion position. IOL power was selected by decreasing the calculated value of the IOL power by 1.0 D, 1.0 D, 0.5 D, and 0.0 D, respectively. Results. Sixty-one patients (63 eyes) were included in the four groups. After 4.1 ± 3.0 months’ follow-up, the postsurgery spherical equivalent (SE) was 0.73 ± 1.86, 0.71 ± 0.84, 1.14 ± 0.45, and 0.07 ± 0.89 diopters (D), respectively. Statistical significance was reached for the postsurgery SE with target refraction between group 1 (p=0.027, <0.05), group 2 (p=0.003, <0.01), and group 3 (p=0.017, <0.05). No significant difference existed for the postsurgery SE with target refraction in group 4 (p=0.779, >0.05), and the postsurgery SE in group 4 was the nearest to target refraction. Conclusion. Intrascleral PC IOL fixation guided by UBM is helpful for locating the ciliary sulcus and satisfactory visual outcomes with a predictable IOL power calculation.http://dx.doi.org/10.1155/2020/5843410 |
| spellingShingle | Ya Qu Ping Duan Shujia Huo Fuliang Li Jiawen Li Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome Journal of Ophthalmology |
| title | Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome |
| title_full | Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome |
| title_fullStr | Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome |
| title_full_unstemmed | Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome |
| title_short | Sutured Intrascleral Posterior Chamber Intraocular Lens Fixation with Ciliary Sulcus Location Guided by Ultrasonic Biological Microscopy: A Retrospective Analysis of Anatomical and Refractive Outcome |
| title_sort | sutured intrascleral posterior chamber intraocular lens fixation with ciliary sulcus location guided by ultrasonic biological microscopy a retrospective analysis of anatomical and refractive outcome |
| url | http://dx.doi.org/10.1155/2020/5843410 |
| work_keys_str_mv | AT yaqu suturedintrascleralposteriorchamberintraocularlensfixationwithciliarysulcuslocationguidedbyultrasonicbiologicalmicroscopyaretrospectiveanalysisofanatomicalandrefractiveoutcome AT pingduan suturedintrascleralposteriorchamberintraocularlensfixationwithciliarysulcuslocationguidedbyultrasonicbiologicalmicroscopyaretrospectiveanalysisofanatomicalandrefractiveoutcome AT shujiahuo suturedintrascleralposteriorchamberintraocularlensfixationwithciliarysulcuslocationguidedbyultrasonicbiologicalmicroscopyaretrospectiveanalysisofanatomicalandrefractiveoutcome AT fuliangli suturedintrascleralposteriorchamberintraocularlensfixationwithciliarysulcuslocationguidedbyultrasonicbiologicalmicroscopyaretrospectiveanalysisofanatomicalandrefractiveoutcome AT jiawenli suturedintrascleralposteriorchamberintraocularlensfixationwithciliarysulcuslocationguidedbyultrasonicbiologicalmicroscopyaretrospectiveanalysisofanatomicalandrefractiveoutcome |