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COMBINED PARS PLANA VITRECTOMY AND SCLERAL FIXATION OF AN INTRAOCULAR LENS USING GORE-TEX SUTURE: One-Year Outcomes

Khan, M., Ali, MD*,†; Samara, Wasim, A., MD*; Gerstenblith, Adam, T., MD; Chiang, Allen, MD*; Mehta, Sonia, MD*; Garg, Sunir, J., MD*; Hsu, Jason, MD*; Gupta, Omesh, P., MD, MBA*

doi: 10.1097/IAE.0000000000001692
Original Study: PDF Only

Purpose: To report the 1-year clinical outcomes of combined pars plana vitrectomy and ab externo scleral fixation of an intraocular lens using Gore-Tex suture.

Methods: Retrospective, interventional case series. Outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 1 year.

Results: Eighty-four eyes of 83 patients were identified. The mean best available visual acuity improved from 20/782 preoperatively to 20/65 postoperatively (P < 0.001). The mean follow-up was 598 ± 183 days (median 533 days, range 365–1,323 days). There were no intraoperative complications noted. A Bausch & Lomb Akreos AO60 intraocular lens was implanted in 77 eyes and an Alcon CZ70BD in 7 eyes. Postoperative complications included transient vitreous hemorrhage in six eyes (7.1%), cystoid macular edema in four eyes (4.8%), ocular hypertension in three eyes (3.6%), hyphema in two eyes (2.4%), and transient corneal edema in two eyes (2.4%). There were no cases of postoperative endophthalmitis, suture erosion/breakage, hypotony, retinal detachment, suprachoroidal hemorrhage, choroidal detachment, uveitis–glaucoma–hyphema syndrome, or persistent postoperative inflammation during the follow-up period.

Conclusion: Combined pars plana vitrectomy and ab externo scleral fixation of an intraocular lens with Gore-Tex suture was well tolerated at a minimum of 1-year follow-up. No suture-related complications were encountered.

We describe 1-year outcomes of combined pars plana vitrectomy and scleral fixation of an intraocular lens using Gore-Tex suture. Combined surgery demonstrated significant visual improvement with low rates of intraoperative and postoperative complications. Long-term outcomes revealed stable intraocular lens placement without suture-related complications.

*The Retina Service of Wills Eye Hospital, Mid-Atlantic Retina, Sidney Kimmel Medical College, Philadelphia, Pennsylvania;

Retina Division, Doheny Eye Center UCLA, Doheny and Stein Eye Institutes, David Geffen School of Medicine at UCLA, Los Angeles, California; and

Mid Atlantic Retina Specialists, Hagerstown, Maryland.

Reprint requests: Omesh P. Gupta, MD, MBA, Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107; e-mail: ogupta@midatlanticretina.com

Design of study: M. A. Khan, W. A. Samara, A. T. Gerstenblith, J. Hsu, and O. P. Gupta. Conduct of study: M. A. Khan, A. T. Gerstenblith, A. Chiang, S. Mehta, S. J. Garg, J. Hsu, and O. P. Gupta. Data collection and analysis: M. A. Khan and W. A. Samara. Interpretation of data: M. A. Khan and W. A. Samara. Manuscript preparation: M. A. Khan, W. A. Samara, A. T. Gerstenblith, A. Chiang, S. Mehta, S. J. Garg, J. Hsu, and O. P. Gupta.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.retinajournal.com).

None of the authors has any financial/conflicting interests to disclose.

O. P. Gupta, MD, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

© 2018 by Ophthalmic Communications Society, Inc.