TY - JOUR
T1 - Pars plana vitrectomy with endoscope-guided sutured posterior chamber intraocular lens implantation in children and adults
AU - Olsen, Timothy W.
AU - Pribila, Jonathan T.
N1 - Funding Information:
Publication of this article was supported in part by an unrestricted grant from Research to Prevent Blindness (RPB), New York, New York. The authors indicate no financial conflict of interest. Involved in conception and design (T.W.O.); analysis and interpretation (T.W.O., J.T.P.); critical revision of the article (T.W.O., J.T.P.); final approval of the article (T.W.O., J.T.P.); data collection (T.W.O., J.T.P.); provision of materials, patients, or resources (T.W.O., J.T.P.); statistical expertise (T.W.O.); obtaining funding (T.W.O.); literature search (T.W.O., J.T.P.); and administrative, technical, or logistic support (T.W.O.). Institutional Review Board exemption was obtained through the University of Minnesota (#0703E04405). This work was conducted in adherence to the Declaration of Helsinki and in compliance with all federal and state laws. Portions of this work were presented at the American Ophthalmological Society meeting, White Sulfur Springs, West Virginia, May 23, 2010. The authors thank Dr J. Douglas Cameron (Mayo Clinic, Rochester, Minnesota, USA) for his contribution of the photomicrograph ( Figure 6 ).
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2011/2
Y1 - 2011/2
N2 - Purpose To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. Design A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. Methods Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (<18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. Results The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. Conclusions Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.
AB - Purpose To describe a novel method for placement of a sulcus-fixated, sutured posterior chamber intraocular lens (sf-SPC-IOL) using endoscopic guidance during pars plana vitrectomy surgery. Design A retrospective case-series by a single surgeon in both pediatric and adult patients undergoing sf-SPC-IOL in the setting of posterior segment surgery. Methods Seventy-four eyes of 71 patients had pars plana vitrectomy and placement of an sf-SPC-IOL in an academic, outpatient setting. Preoperative diagnosis included trauma (42%), subluxated lenses with no capsular support (24%), uveitis (15%), congenital cataract (11%), Marfan syndrome or ectopia lentis (6%), and other (2%). Fifty-one adults and 20 children (<18 years of age) were reviewed from cases performed from 1999 through 2007. The sf-SPC-IOL sutures were placed using endoscopic visualization of ab interno scleral fixation. Results The mean follow-up time was nearly 3 years (3 months to 9 years) and most patients experienced an improvement in visual function. Many eyes had advanced posterior segment disorders. Only 2 broken sutures occurred, both attributable to repeat trauma. Advantages of this technique include: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications. Disadvantages include the learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes. Conclusions Endoscopic-guided sf-SPC-IOL using this approach, in the setting of posterior segment disease, is a reasonable option for visual rehabilitation in both pediatric and adult patients.
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U2 - 10.1016/j.ajo.2010.08.026
DO - 10.1016/j.ajo.2010.08.026
M3 - Article
C2 - 21168823
AN - SCOPUS:78751641303
SN - 0002-9394
VL - 151
SP - 287-296.e2
JO - American journal of ophthalmology
JF - American journal of ophthalmology
IS - 2
ER -