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Graefe's Archive for Clinical and Experimental Ophthalmology

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31-08-2022 | Refractive Errors | Cataract

Evaluations of bridging sutures in preventing iris capture in eyes with intrascleral fixation of implanted intraocular lens

Authors: Makoto Inoue, Takashi Koto, Yuka Ota, Hiroko Bissen-Miyajima, Akito Hirakata

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2023

Abstract

Purpose

The study aims to determine the effectiveness of bridging sutures in preventing iris capture and a subsequent reverse pupillary block after an intrascleral fixation of an implanted intraocular lens (IOL).

Methods

We studied 6 eyes that had an iris capture with reverse pupillary block due to a dislocated IOL after an intrascleral fixation. After the dislocated IOL was repositioned, 10–0 polypropylene sutures were inserted 1.5 mm posterior to the limbus and directed to run between the iris and the IOL. The sutures were placed orthogonal to the haptics of the IOL. Anterior segment optical coherence tomography (AS-OCT) was used in 4 eyes to evaluate the degree of iridodonesis before and after the bridging sutures. The heights of the temporal and nasal sectors of the middle iris from the iris plane (the line between anterior chamber angles) were compared for each 0.2-s AS-OCT image taken immediately after the eye moved from a lateral to a primary position.

Results

None of the eyes had a recurrence of the iris capture after the bridging sutures. The refractive error, anterior chamber depth, and vision were not significantly altered after the bridging sutures were placed. The AS-OCT images showed that the height of the nasal iris was decreased more at 0 s postoperatively blocking the excessive downward movement of the nasal iris but not the iridodonesis.

Conclusion

Bridging sutures were effective in preventing iris capture and subsequent reverse pupillary block after an intrascleral fixation of an IOL.

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Vote BJ, Tranos P, Bunce C, Charteris DG, Da Cruz L (2006) Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation. Am J Ophthalmol 141:308–312CrossRef

Gabor SG, Pavlidis MM (2007) Sutureless intrascleral posterior chamber intraocular lens fixation. J Cataract Refract Surg 33:1851–1854CrossRef

Monteiro M, Marinho A, Borges S, Ribeiro L, Correia C (2007) Scleral fixation in eyes with loss of capsule or zonule support. J Cataract Refract Surg 33(4):573–576CrossRef

Scharioth GB, Prasad S, Georgalas I, Tataru C, Pavlidis M (2010) Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation. J Cataract Refract Surg 36:254–259CrossRef

Ohta T, Toshida H, Murakami A (2014) Simplified and safe method of sutureless intrascleral posterior chamber intraocular lens fixation: Y-fixation technique. J Cataract Refract Surg 40:2–7CrossRef

Yamane S, Inoue M, Arakawa A, Kadonosono K (2014) Sutureless 27-gauge needle-guided intrascleral intraocular lens implantation with lamellar scleral dissection. Ophthalmology 121:61–66CrossRef

Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K (2017) Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 124:1136–1142CrossRef

Kim SI, Kim K (2016) Tram-track suture technique for pupillary capture of a scleral fixated intraocular lens. Case Rep Ophthalmol 7(2):290–295CrossRef

Kujime Y, Akimoto M (2019) Repair of angle recession prevents pupillary capture of intrasclerally fixed intraocular lenses. Int Ophthalmol 39(5):1163–1168CrossRef

10.

Bang SP, Joo CK, Jun JH (2017) Reverse pupillary block after implantation of a scleral-sutured posterior chamber intraocular lens: a retrospective, open study. BMC Ophthalmol 17(1):35CrossRef

11.

Higashide T, Shimizu F, Nishimura A, Sugiyama K (2009) Anterior segment optical coherence tomography findings of reverse pupillary block after scleral-fixated sutured posterior chamber intraocular lens implantation. J Cataract Refract Surg 35(9):1540–1547CrossRef

12.

Yoo YJ, Kim ET, Heo JW (2016) Safety barricade suture for preventing pupillary capture of intraocular lens with scleral fixation: H-technique. Retina 36(1):206–210CrossRef

13.

Porporato N, Baskaran M, Husain R, Aung T (2020) Recent advances in anterior chamber angle imaging. Eye (Lond) 34(1):51–59CrossRef

14.

Radhakrishnan S, Yarovoy D (2014) Development in anterior segment imaging for glaucoma. Curr Opin Ophthalmol 25(2):98–103CrossRef

15.

Do JR, Park SJ, Mukai R, Kim HK, Shin JP, Park DH (2021) A 1-year prospective comparative study of sutureless flanged intraocular lens fixation and conventional sutured scleral fixation in intraocular lens dislocation. Ophthalmologica 244(1):68–75CrossRef

16.

Inoue M, Koto T, Hirakata A (2022) Large amplitude iris fluttering detected by consecutive anterior segment optical coherence tomography images in eyes with intrascleral fixation of an intraocular lens. J Clin Med 11:4596CrossRef

17.

Silva AF, Pimenta F, Alves MA, Oliveira MSN (2020) Flow dynamics of vitreous humour during saccadic eye movements. J Mech Behav Biomed Mater 110:103860CrossRef

18.

Singh H, Modabber M, Safran SG, Ahmed II (2015) Laser iridotomy to treat uveitis-glaucoma-hyphema syndrome secondary to reverse pupillary block in sulcus-placed intraocular lenses: case series. J Cataract Refract Surg 41(10):2215–2223CrossRef

19.

Bharathi M, Balakrishnan D, Senthil S (2020) “Pseudophakic reverse pupillary block” following Yamane technique scleral-fixated intraocular lens. J Glaucoma 29(7):e68–e70CrossRef

20.

Han F, Liu W, Shu X, Tan R, Ji Q, Zhai X (2014) Evaluation of pars plana sclera fixation of posterior chamber intraocular lens. Indian J Ophthalmol 62(6):688–691CrossRef

21.

Narang P, Agarwal A (2017) Pupilloplasty for pupil size attenuation to prevent pupillary capture: theory of quintet in glued IOL. J Cataract Refract Surg 43(1):3–7CrossRef

22.

Barca F, Caporossi T, de Angelis L, Giansanti F, Savastano A, Di Leo L, Rizzo S (2020) Trans-scleral plugs fixated IOL: a new paradigm for sutureless scleral fixation. J Cataract Refract Surg 46(5):716–720CrossRef

23.

Vaiano AS, Hoffer KJ, Greco A, Greco A, D’Amico G, Pasqualitto V, Carlevale C, Savini G (2021) Long-term outcomes and complications of the new Carlevale sutureless scleral fixation posterior chamber IOL. J Refract Surg 37(2):126–132CrossRef

24.

Yüksel K, Pekel G, Alagöz N, Alagöz C, Baz Ö, Yazc AT (2016) Silicone oil barrier sutures in aphakic eyes with iris defects. Retina 36(6):1222–1226CrossRef

25.

Gentile RC, Eliott D (2010) Silicone oil retention sutures in aphakic eyes with iris loss. Arch Ophthalmol 128(12):1596–1599CrossRef

Title: Evaluations of bridging sutures in preventing iris capture in eyes with intrascleral fixation of implanted intraocular lens
Authors: Makoto Inoue
Takashi Koto
Yuka Ota
Hiroko Bissen-Miyajima
Akito Hirakata
Publication date: 31-08-2022
Publisher: Springer Berlin Heidelberg
Keyword: Refractive Errors
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2023
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-022-05816-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluations of bridging sutures in preventing iris capture in eyes with intrascleral fixation of implanted intraocular lens

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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