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.
| Identifer | oai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/606216 |
| Date | 20 April 2016 |
| Creators | Wallman, Andrew |
| Contributors | The University of Arizona College of Medicine - Phoenix, Monson, Bryan MD |
| Publisher | The University of Arizona. |
| Source Sets | University of Arizona |
| Language | en_US |
| Detected Language | English |
| Type | Thesis |
| Rights | Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. |
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