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ONE-YEAR OUTCOMES OF A NOVEL SURGICAL APPROACH FOR FIXATION OF A POSTERIOR CHAMBER INTRAOCULAR LENS USING GORE-TEX SUTURE

Bonnell, Alyssa C., BA*; Mantopoulos, Dimosthenis, MD, PhD*,†; Fine, Howard F., MD, MHSc*,†; Shah, Sumit P., MD*,†; Wheatley, H. Matthew, MD*,†; Prenner, Jonathan L., MD*,†

doi: 10.1097/IAE.0000000000002456
Original Study: PDF Only

Purpose: To report the 1-year outcomes of a novel surgical technique for the fixation of a CZ70BD intraocular lens with Gore-Tex suture using cow-hitch knots.

Methods: A retrospective chart review of 15 patients (13 men and 2 women) who underwent fixation of a posterior chamber intraocular lens with Gore-Tex suture was performed. Short- and long-term outcomes data were collected 1 month and 1 year after surgery, respectively.

Results: Fourteen of the 15 patients met inclusion criteria and were included in the analysis. Mean visual acuity improved significantly from Snellen 20/491 preoperatively to Snellen 20/59 at postoperative month 12 (P = 0.002). The most common short-term complications included increased intraocular pressure (n = 6) and cystoid macular edema (n = 4). The most common long-term complications included increased intraocular pressure (n = 2) and iris capture of the intraocular lens (n = 2).

Conclusions: One-year outcome data suggest that this technique is a reasonable surgical option for secondary intraocular lens placement in patients who lack capsular support.

This study describes the outcomes of a novel surgical approach for the fixation of a CZ70BD posterior chamber intraocular lens with Gore-Tex suture using cow-hitch knots. One year after surgery, this technique was well tolerated with few short- and long-term complications.

*Department of Ophthalmology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; and

NJRetina, New Brunswick, New Jersey.

Reprint requests: Alyssa C. Bonnell, BA, Department of Ophthalmology, Rutgers Robert Wood Johnson Medical School, 10 Plum Street, Suite 600, New Brunswick, NJ 08901; e-mail: alyssacbonnell@gmail.com

J. L. Prenner is a consultant for Alcon. The remaining authors have no financial/conflicting interests to disclose.

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).

© 2019 by Ophthalmic Communications Society, Inc.