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Factors predicting redislocation or suture break in eyes after scleral-fixated intraocular lens

Authors
 Juseok Lee  ;  Junwon Lee  ;  Christopher Seungkyu Lee  ;  Min Kim  ;  Suk Ho Byeon  ;  Sung Soo Kim  ;  Hyun Goo Kang 
Citation
 JOURNAL OF CATARACT AND REFRACTIVE SURGERY, Vol.50(10) : 1037-1044, 2024-10 
Journal Title
JOURNAL OF CATARACT AND REFRACTIVE SURGERY
ISSN
 0886-3350 
Issue Date
2024-10
MeSH
Adult ; Aged ; Artificial Lens Implant Migration / etiology ; Female ; Humans ; Lens Implantation, Intraocular* ; Lenses, Intraocular ; Male ; Middle Aged ; Postoperative Complications* ; Reoperation ; Retrospective Studies ; Risk Factors ; Sclera* / surgery ; Suture Techniques ; Visual Acuity* / physiology
Abstract
PURPOSE: To investigate predictive factors for redislocation in patients with recurrent intraocular lens (IOL) dislocation after secondary scleral-fixated IOL (SF IOL) surgery. SETTING: 2 tertiary referral hospitals. DESIGN: Retrospective case series. METHODS: Patients undergoing SF IOL surgery were grouped into redislocation and no-redislocation groups. Medical records of consecutive patients who underwent SF IOL surgery between June 2014 and December 2019 at 2 tertiary referral centers were reviewed. Data regarding patient demographics, treatment factors, anatomical and functional outcomes, and postoperative complications were recorded. RESULTS: 237 eyes of 225 patients (169 [75.1%] men) were included. The redislocation group was more likely to have a younger mean age at the initial SF IOL surgery (redislocation vs no-redislocation, 55.4 vs 62.0 years, respectively; P = .008), have a prior history of a previous suture break (23 eyes, 52.3% vs 1 eye, 0.5%; P < .001), and have undergone the initial SF IOL surgery using <1 mm-sized side-port incisions (17 eyes, 38.6% vs 32 eyes, 16.5%; P = .002) than was the no-redislocation group. In addition, the redislocation group had a higher occurrence of complications ( P < .001). Multivariate regression revealed that younger age, left eye involvement, aphakic status before the surgery, unremarkable primary IOL dislocation cause, need for ocular hypertension treatment and glaucoma surgery, and no large incision during the initial surgery were significantly (all P < .05) associated with redislocation. CONCLUSIONS: Younger age, left eye involvement, postoperative complications such as ocular hypertension and glaucoma, and techniques without large incisions increase the risk of redislocation. Conversely, lower risk factors include unremarkable surgery causes and a history of aphakic conditions. Copyright © 2024 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
Full Text
https://journals.lww.com/jcrs/fulltext/2024/10000/factors_predicting_redislocation_or_suture_break.9.aspx
DOI
10.1097/j.jcrs.0000000000001497
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hyun Goo(강현구) ORCID logo https://orcid.org/0000-0001-8359-9618
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Byeon, Suk Ho(변석호) ORCID logo https://orcid.org/0000-0001-8101-0830
Lee, Christopher Seungkyu(이승규) ORCID logo https://orcid.org/0000-0001-5054-9470
Lee, Jun Won(이준원) ORCID logo https://orcid.org/0000-0003-0543-7132
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/201194
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