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Post a Comment Long-term results of late “in-the-bag” IOL dislocation surgery
- Authors: Potemkin V.V.1,2, Astakhov S.Y.1, Varganova T.S.2, Wang X.1, Anikina L.K.1,2, Babaeva S.E.3
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Affiliations:
- Academician I.P. Pavlov First St. Petersburg State Medical University
- City Multidisciplinary Hospital No. 2, Saint Petersburg
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 16, No 2 (2023)
- Pages: 17-27
- Section: Original researches
- URL: https://journals.rcsi.science/ov/article/view/253833
- DOI: https://doi.org/10.17816/OV321819
- ID: 253833
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Abstract
BACKGROUND: Intraocular lens (IOL) repositioning and IOL exchange are the main methods of surgical treatment of late “in-the-bag” IOL dislocation.
AIM: To evaluate refraction, induced corneal astigmatism and IOL tilt after surgical treatment of late “in-the-bag” IOL dislocation by transscleral suture fixation and exchange to “iris-claw” IOL with retropupillary fixation.
MATERIALS AND METHODS: 78 of patients with late “in-the-bag” IOL dislocation were included. Transscleral suture IOL fixation was performed in group I (38 eyes), exchange to “iris-claw” IOL was performed in group II (40 eyes). Refractometry, keratotopography and optical coherence tomography of anterior segment were performed before surgery, 1 week, 1, 3 and 6 months after surgery.
RESULTS: The groups did not differ in subjective and objective refraction. But there was significant variability of data in the group I 3 and 6 months after surgery. There was no difference in corneal astigmatism in both groups during 3 months, but a significant increase was found in group II 6 months after surgery. There was no difference in IOL tilt between groups before surgery. Decrease of IOL tilt in 180 degrees plane was observed after 1 month in group II, while there was no difference in 90 degrees plane between groups.
CONCLUSIONS: Both methods of late “in-the-bag” IOL dislocation treatment allow to receive good refractive result, but refraction is less predictable after trans-scleral suture IOL fixation. Surgically induced astigmatism is higher in IOL exchange group due to large sclerocorneal tunnel incision. Transscleral suture IOL fixation does not cause clinically significant IOL tilt.
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##article.viewOnOriginalSite##About the authors
Vitaliy V. Potemkin
Academician I.P. Pavlov First St. Petersburg State Medical University; City Multidisciplinary Hospital No. 2, Saint Petersburg
Email: potem@inbox.ru
ORCID iD: 0000-0001-7807-9036
SPIN-code: 3132-9163
Cand. Sci. (Med.), assistant professor of Department of Ophthalmology with Clinic; head of 5th Microsurgical Ophthalmology Department
Russian Federation, Saint Petersburg; Saint PetersburgSergey Y. Astakhov
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: astakhov73@mail.ru
ORCID iD: 0000-0003-0777-4861
SPIN-code: 7732-1150
Scopus Author ID: 56660518500
MD, Dr. Sci. (Med.), professor, head of Department of Ophthalmology with Clinic
Russian Federation, Saint PetersburgTat’yana S. Varganova
City Multidisciplinary Hospital No. 2, Saint Petersburg
Email: varganova.ts@yandex.ru
MD, Cand. Sci. (Med.), ophthalmologist
Russian Federation, Saint PetersburgXiaoyuan Wang
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: wangxiaoyuan20121017@gmail.com
ORCID iD: 0000-0002-1135-6796
postgraduate student of Department of Ophthalmology with Clinic
Russian Federation, Saint PetersburgLiliia K. Anikina
Academician I.P. Pavlov First St. Petersburg State Medical University; City Multidisciplinary Hospital No. 2, Saint Petersburg
Author for correspondence.
Email: lily-sai@yandex.ru
ORCID iD: 0000-0001-8794-0457
SPIN-code: 3359-4587
postgraduate student, ophthalmologist
Russian Federation, Saint Petersburg; Saint PetersburgShohida E. Babaeva
North-Western State Medical University named after I.I. Mechnikov
Email: babaevasho@gmail.com
ORCID iD: 0000-0003-1047-9230
student of Department of general medicine
Russian Federation, Saint PetersburgReferences
- Klein R, Klein BE. The prevalence of age-related eye diseases and visual impairment in aging: current estimates. Invest Ophthalmol Vis Sci. 2013;54(14): ORSF5-ORSF13. doi: 10.1167/iovs.13-12789
- Kristianslund O, Dalby M, Drolsum L. Late in-the-bag intraocular lens dislocation. J Cataract Refract Surg. 2021;47(7):942–954. doi: 10.1097/j.jcrs.0000000000000605
- Davis D, Brubaker J, Espandar L, et al. Late in-the-bag spontaneous intraocular lens dislocation: evaluation of 86 consecutive cases. Ophthalmology. 2009;116(4):664–670. doi: 10.1016/j.ophtha.2008.11.018
- Gross JG, Kokame GT, Weinberg DV. Dislocated in-the-bag intraocular lens study group. In-the-bag intraocular lens dislocation. Am J Ophthalmol. 2004;137(4):630–635. doi: 10.1016/j.ajo.2003.10.037
- Hirata A, Okinami S, Hayashi K. Occurrence of capsular delamination in the dislocated in-the-bag intraocular lens. Graefe’s Arch Clin Exp Ophthalmol. 2011;249(9):1409–1415. doi: 10.1007/s00417-010-1605-5
- Fernández-Buenaga R, Alio JL, Pérez-Ardoy AL, et al. Late in-the-bag intraocular lens dislocation requiring explantation: risk factors and outcomes. Eye (Lond). 2013;27(7):795–802. doi: 10.1038/eye.2013.95
- Potemkin VV, Astakhov SYu, Goltsman EV, Van SYu. Assessment of risk factors for the development of late intraocular lens dislocation. Ophthalmology in Russia. 2021;18(1):103–109. (In Russ.) doi: 10.18008/1816-5095-2021-1-103-109
- Conway RM, Schlötzer-Schrehardt U, Küchle M, Naumann G. Pseudoexfoliation syndrome: Pathologic manifestations of relevance to intraocular surgery. Clin Exp Ophthalmol. 2004;32(2):199–210. doi: 10.1111/j.1442-9071.2004.00806.x
- Hayashi K, Hirata A, Hayashi H. Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery. Ophthalmology. 2007;114(5):969–975. doi: 10.1016/j.ophtha.2006.09.017
- Eum SJ, Kim MJ, Kim HK. A comparison of clinical outcomes of dislocated intraocular lens fixation between in situ refixation and conventional exchange technique combined with vitrectomy. J Ophthalmol. 2016;2016:5942687. doi: 10.1155/2016/5942687
- Rey A, Jürgens I, Dyrda A, et al. Surgical outcome of late in-the-bag intraocular lens dislocation treated with pars plana vitrectomy. Retina. 2016;36(3):576–581. doi: 10.1097/IAE.0000000000000738
- Pashtaev NP. Klassifikatsiya dislokatsii khrustalika, sovremennaya taktika lecheniya. Aktual’nye problemy khirurgii khrustalika, steklovidnogo tela i setchatki. Moscow, 1986. P. 34–37. (In Russ.)
- Patent RUS № 2683932/02.04.2019. Byul. № 10. Pashtaev NP, Timofeeva NS, Kulikov IV, Pikusova SM. Sposob opredeleniya polozheniya intraokulyarnoi linzy. (In Russ.)
- Choi EY, Lee CH, Kang HG, et al. Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation. Sci Rep. 2021;11(1):726. doi: 10.1038/s41598-020-80292-3
- Kemer Atik B, Altan C, Agca A, et al. The effect of intraocular lens tilt on visual outcomes in scleral-fixated intraocular lens implantation. Int Ophthalmol. 2020;40(3):717–724. doi: 10.1007/s10792-019-01233-2
- Kristianslund O, Østern AE, Drolsum L. Astigmatism and refractive outcome after late in-the-bag intraocular lens dislocation surgery: A randomized clinical trial. Invest Ophthalmol Vis Sci. 2017;58(11):4747–4753. doi: 10.1167/iovs.17-22723
- Dalby M, Kristianslund O, Drolsum L. Long-term outcomes after surgery for late in-the-bag intraocular lens dislocation: A randomized clinical trial. Am J Ophthalmol. 2019;207:184–194. doi: 10.1016/j.ajo.2019.05.030
- Kristianslund O, Råen M, Østern AE, Drolsum L. Late in-the-bag intraocular lens dislocation: a randomized clinical trial comparing lens repositioning and lens exchange. Ophthalmology. 2017;124(2): 151–159. doi: 10.1016/j.ophtha.2016.10.024
- Ashena Z, Maqsood S, Ahmed SN, Nanavaty MA. Effect of intraocular lens tilt and decentration on visual acuity, dysphotopsia and wavefront aberrations. Vision (Basel). 2020;4(3):41. doi: 10.3390/vision4030041
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