Clinical outcome of rescuing dislocated Akreos intraocular lens with closed continuous-loop sutureOA
AIM:To report on the clinical outcomes of rescuing dislocated Akreos intraocular lenses(IOLs)with a closed continuous-loop suture technique(CCS).METHODS:A retrospective review of patients who underwent CCS for rescuing dislocated IOL between June 2017 and March 2023.The clinical primary outcomes were best-corrected visual acuity(BCVA),intraocular pressure(IOP),IOL positioning,and complications,assessed both preoperatively and for at least 3mo postoperatively.RESULTS:Nine patients(9 eyes)were reviewed with an average age of 48.67y(range,18-67y),and a followup period averaging 11.67mo(ranging from 3 to 36mo).Post-surgery,the IOLs were well-centered and stable.The preoperative BCVA was 1.03±0.79 logMAR,improving to 0.5±0.48 logMAR at the last follow-up(P<0.05).Preoperative IOP of 20±6.84 mm Hg and postoperative IOP 16.11±5.65 mm Hg(P=0.182).The mean corneal endothelial cell density decreased from 2177±587 to 2080±581 cells/mm^(2) in five patients(P=0.71)and the endothelial cell loss rate is 4.56%.CONCLUSION:CCS is an effective,safe,and minimally invasive method for rescuing and stabilizing dislocated Akreos IOLs.
Han Jiang;Wen-Ting Zhu;Ping-Fan Zhu;Gong-Qiang Yuan;Jing-Jing Zhang
Eye Institute of Shandong First Medical University,State Key Laboratory Cultivation Base,Shandong Provincial Key Laboratory of Ophthalmology,Qingdao 266109,Shandong Province,China School of Ophthalmology,Shandong First Medical University,Jinan 250117,Shandong Province,China Qingdao Eye Hospital of Shandong First Medical University,Eye Institute of Shandong First Medical University,Qingdao 266071,Shandong Province,ChinaSchool of Ophthalmology,Shandong First Medical University,Jinan 250117,Shandong Province,China Eye Institute of Shandong First Medical University,Eye Hospital of Shandong First Medical University(Shandong Eye Hospital),Jinan 250021,Shandong Province,ChinaEye Institute of Shandong First Medical University,State Key Laboratory Cultivation Base,Shandong Provincial Key Laboratory of Ophthalmology,Qingdao 266109,Shandong Province,China School of Ophthalmology,Shandong First Medical University,Jinan 250117,Shandong Province,China Qingdao Eye Hospital of Shandong First Medical University,Eye Institute of Shandong First Medical University,Qingdao 266071,Shandong Province,ChinaSchool of Ophthalmology,Shandong First Medical University,Jinan 250117,Shandong Province,China Eye Institute of Shandong First Medical University,Eye Hospital of Shandong First Medical University(Shandong Eye Hospital),Jinan 250021,Shandong Province,ChinaEye Institute of Shandong First Medical University,State Key Laboratory Cultivation Base,Shandong Provincial Key Laboratory of Ophthalmology,Qingdao 266109,Shandong Province,China School of Ophthalmology,Shandong First Medical University,Jinan 250117,Shandong Province,China Eye Institute of Shandong First Medical University,Eye Hospital of Shandong First Medical University(Shandong Eye Hospital),Jinan 250021,Shandong Province,China
医药卫生
intraocular lens dislocationintraocular lensscleral fixation
《International Journal of Ophthalmology(English edition)》 2026 (4)
P.815-818,4
Supported by the National Natural Science Foundation of China(No.82101164)Taishan Scholar Foundation of Shandong Province(No.tsqn202211344)Natural Science Foundation of Shandong Province,China(No.ZR2021MH074No.ZR2021MH152).
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