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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-10-2021 | Refractive Errors | Cataract

Refractive errors after sutureless intrascleral fixation of intraocular lens

Authors: Masato Kakisu, Takayuki Baba, Tomoaki Tatsumi, Takehito Iwase, Tomohiro Nizawa, Gen Miura, Shuichi Yamamoto

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 10/2021

Abstract

Purpose

To determine the difference between the attempted and the achieved postoperative refractive error after sutureless intrascleral fixation of the haptics of an implanted intraocular lens (IOL).

Patients and methods

This was a retrospective study of the medical charts of patients who had undergone sutureless intrascleral fixation of an IOL. The IOLs were fixed by inserting the haptics into scleral tunnels with or without flanges. The differences between the attempted and achieved postoperative refractive error (spherical equivalent) were determined. The relationships between the surgical options and the differences of the refractive error and degree of astigmatism were also determined.

Results

Two hundred and twenty-three eyes were studied. There was a myopic shift of − 0.38 ± 1.13 diopters (D). The mean of the differences between the achieved postoperative and the attempted refractive error was 0.89 ± 0.79 D. The achieved refractive error was significantly correlated with the attempted refractive error (P < 0.001, R² = 0.631). The surgical procedures selected were not significantly associated with the differences between the attempted and achieved refractive error. The size of sclerocorneal incision and presence of sutures were significantly associated with the final degree of astigmatism (P = 0.006 and 0.008, respectively).

Conclusions

The postoperative refractive error was significantly correlated with the attempted refractive error after intrascleral fixation of an IOL. The wound construction was associated with the postoperative degree of astigmatism.

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Title: Refractive errors after sutureless intrascleral fixation of intraocular lens
Authors: Masato Kakisu
Takayuki Baba
Tomoaki Tatsumi
Takehito Iwase
Tomohiro Nizawa
Gen Miura
Shuichi Yamamoto
Publication date: 01-10-2021
Publisher: Springer Berlin Heidelberg
Keywords: Refractive Errors
Incision
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 10/2021
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-021-05268-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Refractive errors after sutureless intrascleral fixation of intraocular lens

Abstract

Purpose

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Patients and methods

Results

Conclusions

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