In-the-bag scleral suturing of intraocular lens in eyes with severe zonular dehiscence
Identifieur interne : 001B96 ( Ncbi/Checkpoint ); précédent : 001B95; suivant : 001B97In-the-bag scleral suturing of intraocular lens in eyes with severe zonular dehiscence
Auteurs : K. Hayashi [Japon] ; A. Hirata [Japon] ; H. Hayashi [Japon]Source :
- Eye [ 0950-222X ] ; 2011.
Abstract
To compare the degree of tilt and decentration of an intraocular lens (IOL), refractive status, and prediction error between eyes that underwent trans-scleral suturing of the IOL within the capsular bag (in-the-bag scleral suturing) and eyes that underwent scleral suturing outside of the bag (out-of-the-bag scleral suturing) because of severe zonular dehiscence.
Thirty eyes that underwent in-the-bag scleral suturing of an IOL and 38 eyes that underwent out-of-the-bag scleral suturing were recruited sequentially. The tilt and decentration of the IOL, anterior chamber depth, manifest refractive spherical equivalent (MRSE), prediction error, and incidence of complications were examined.
The mean tilt angle and the decentration length of the IOL of the in-the-bag suturing group were significantly less than those of the out-of-the-bag suturing group (
The tilt and decentration of the IOL after in-the-bag scleral suturing are significantly less than those after out-of-the-bag scleral suturing, which may lead to less MRSE and less prediction error. As the incidence of vitreous loss is less after in-the-bag scleral suturing, in-the-bag suturing is advantageous for eyes of younger patients and of less complicated cases.
Url:
DOI: 10.1038/eye.2011.242
PubMed: 21941359
PubMed Central: 3259581
Affiliations:
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<author><name sortKey="Hayashi, K" sort="Hayashi, K" uniqKey="Hayashi K" first="K" last="Hayashi">K. Hayashi</name>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Hirata, A" sort="Hirata, A" uniqKey="Hirata A" first="A" last="Hirata">A. Hirata</name>
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<author><name sortKey="Hayashi, H" sort="Hayashi, H" uniqKey="Hayashi H" first="H" last="Hayashi">H. Hayashi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">In-the-bag scleral suturing of intraocular lens in eyes with severe zonular dehiscence</title>
<author><name sortKey="Hayashi, K" sort="Hayashi, K" uniqKey="Hayashi K" first="K" last="Hayashi">K. Hayashi</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Ophthalmology, Hayashi Eye Hospital</institution>
, Fukuoka,<country>Japan</country>
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<author><name sortKey="Hirata, A" sort="Hirata, A" uniqKey="Hirata A" first="A" last="Hirata">A. Hirata</name>
<affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Ophthalmology, Faculty of Medicine, Saga University</institution>
, Saga,<country>Japan</country>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Hayashi, H" sort="Hayashi, H" uniqKey="Hayashi H" first="H" last="Hayashi">H. Hayashi</name>
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<series><title level="j">Eye</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To compare the degree of tilt and decentration of an intraocular lens (IOL), refractive status, and prediction error between eyes that underwent trans-scleral suturing of the IOL within the capsular bag (in-the-bag scleral suturing) and eyes that underwent scleral suturing outside of the bag (out-of-the-bag scleral suturing) because of severe zonular dehiscence.</p>
</sec>
<sec sec-type="methods"><title>Patients and methods</title>
<p>Thirty eyes that underwent in-the-bag scleral suturing of an IOL and 38 eyes that underwent out-of-the-bag scleral suturing were recruited sequentially. The tilt and decentration of the IOL, anterior chamber depth, manifest refractive spherical equivalent (MRSE), prediction error, and incidence of complications were examined.</p>
</sec>
<sec><title>Results</title>
<p>The mean tilt angle and the decentration length of the IOL of the in-the-bag suturing group were significantly less than those of the out-of-the-bag suturing group (<italic>P</italic>
=0.0003 in tilt and <italic>P</italic>
=0.0391 in decentration), although the anterior chamber depth was similar. The mean MRSE and prediction error of the in-the-bag suturing group were less than those of the out-of-the-bag suturing group (<italic>P</italic>
=0.0006 in MRSE and <italic>P</italic>
=0.0034 in error). The incidence of vitreous loss was less in the in-the-bag suturing group than in the out-of-the-bag suturing group (20% <italic>vs</italic>
63.2%, <italic>P</italic>
=0.0009).</p>
</sec>
<sec><title>Conclusions</title>
<p>The tilt and decentration of the IOL after in-the-bag scleral suturing are significantly less than those after out-of-the-bag scleral suturing, which may lead to less MRSE and less prediction error. As the incidence of vitreous loss is less after in-the-bag scleral suturing, in-the-bag suturing is advantageous for eyes of younger patients and of less complicated cases.</p>
</sec>
</div>
</front>
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<name sortKey="Hayashi, H" sort="Hayashi, H" uniqKey="Hayashi H" first="H" last="Hayashi">H. Hayashi</name>
<name sortKey="Hirata, A" sort="Hirata, A" uniqKey="Hirata A" first="A" last="Hirata">A. Hirata</name>
</country>
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</affiliations>
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