Scleral-fixated intraocular lens implantation with “irregular, knotless, zigzag-shaped scleral tunnel suture technique” combined with pars plana vitrectomy or anterior vitrectomy

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dc.authorscopusid6603621113
dc.authorscopusid57209703199
dc.authorscopusid22978185500
dc.authorscopusid57219441471
dc.contributor.authorGunduz A.
dc.contributor.authorOzturk E.
dc.contributor.authorCankaya C.
dc.contributor.authorAtas P.B.U.
dc.date.accessioned2024-08-04T20:02:19Z
dc.date.available2024-08-04T20:02:19Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPURPOSE: This study aims to introduce a new suture method and report surgical outcomes of patients who underwent scleral-fixated intraocular lens (SF-IOL) implantation combined with either pars plana vitrectomy (PPV) or anterior vitrectomy (AV). METHODS: Twenty-three eyes performed SF-IOL implantation combined with PPV (Group 1), and 34 eyes performed SF-IOL implantation combined with AV (Group 2) were included in the study prospectively. The SF-IOL, either polymethyl methacrylate or foldable IOL, was sutured into the sclera using PC-9 sutures in an irregular, knotless, and zigzag-shaped manner. The scleral tunnel was approximately 12-15 mm long, with at least four sharp edges. Suture tips were trimmed within the scleral tunnel. Postoperative outcomes and complications were evaluated. RESULTS: Both groups showed no complications such as suture tip expulsion, suture reaction, IOL dislocation, or increased intraocular pressure during postoperative visits. Group 1 exhibited a statistically significant improvement in visual acuity compared to preoperative values (P = 0.036 for the 1st month, <0.001 for the 3rd month). Similarly, Group 2 demonstrated a statistically significant improvement in visual acuity compared to the preoperative period (P = 0.001 for the 1st month, <0.001 for the 3rd month). CONCLUSION: The “irregular, knotless, and zigzag-shaped scleral tunnel suture technique” yielded favorable results in terms of IOL stability and visual acuity. This technique can be safely employed in patients undergoing SF-IOL implantation combined with PPV or AV. © 2024 Saudi Journal of Ophthalmology | Published by Wolters Kluwer - Medknow.en_US
dc.identifier.doi10.4103/sjopt.sjopt_119_23
dc.identifier.endpage167en_US
dc.identifier.issn1319-4534
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85197493873en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage163en_US
dc.identifier.urihttps://doi.org/10.4103/sjopt.sjopt_119_23
dc.identifier.urihttps://hdl.handle.net/11616/91606
dc.identifier.volume38en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofSaudi Journal of Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnterior vitrectomyen_US
dc.subjectaphakiaen_US
dc.subjectpars plana vitrectomyen_US
dc.subjectscleral-fixated intraocular lens implantationen_US
dc.subjectZ-suture methoden_US
dc.titleScleral-fixated intraocular lens implantation with “irregular, knotless, zigzag-shaped scleral tunnel suture technique” combined with pars plana vitrectomy or anterior vitrectomyen_US
dc.typeArticleen_US

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