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Safety and Visual Outcomes of Novel Abexterno Akreos® Single Pass Method of Transscleral Sutured Posterior Chamber IOL Implantation for Scleral Fixation of IOLWallman, Andrew 20 April 2016 (has links)
A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / We present the safety and efficacy of a novel transscleral sutured posterior chamber
intraocular lens (TSSPCIOL) implantation approach utilizing 25 gauge vitrectomy and a foldable
posterior chamber intraocular lens implant (AKREOS AO60, Bausch & Lomb). 80 consecutive
eyes that underwent single surgeon TSSPCIOL implantation between October 2008 and July
2012 at a referral‐based retina institution were analyzed for best spectacle‐corrected visual
acuity (BCVA) and safety indicators. Postoperative complications included retinal detachment in
2 eyes (2.5%), Irvine‐Gass cystoid macular edema in 3 eyes (3.75%), with 2 of those cases
occurring late, persistent postoperative corneal edema in 1 eye (1.25%), hyphema in 2 eyes
(2.5%) and 1 case of postoperative vitreous hemorrhage with spontaneous clearing. The
modified external approach with AKREOS® TSSPCIOL placement with 25 gauge vitrectomy has
relatively few complications, improves visual acuity in patients requiring TSSPCIOL, and offers
several advantages over traditional anterior chamber or conventional scleral sutured
techniques.
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