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Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
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Modified Technique for Sutured Intraocular Lens.

Rui Wang1, Palak R Patel, Prithvi R Bomdica

  • 1The Retina Institute of St. Louis, Saint Louis, Missouri.

Retina (Philadelphia, Pa.)
|September 29, 2025
PubMed
Summary
This summary is machine-generated.

This study presents a new scleral fixation method for the Akreos AO60 intraocular lens (IOL) using Gore-Tex sutures. The technique buries sutures to reduce complications and enhance cosmetic results.

Keywords:
Akreos AO60Gore-TexIOL dislocationfour-point fixationpolytetrafluoroethylene suturescleral fixationsuture erosionsuture exposure

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Ophthalmic Implants

Background:

  • Scleral fixation of intraocular lenses (IOLs) is crucial for managing aphakia.
  • Traditional methods may lead to long-term exposure-related complications and suboptimal cosmesis.

Purpose of the Study:

  • To describe a novel scleral fixation technique for the Akreos AO60 IOL.
  • To utilize Gore-Tex sutures buried within the sclera.
  • To minimize long-term exposure complications and improve cosmetic outcomes.

Main Methods:

  • A modified ab externo approach was used for scleral fixation.
  • Four eyes of four patients underwent the procedure.
  • Outcomes assessed included visual acuity, IOL centration, and suture complications.

Main Results:

  • Postoperative visual acuity improved, ranging from 20/30 to 20/90.
  • All IOLs were well-centered with no visible external suture.
  • One patient experienced transient hypotony and retinal detachment, successfully treated.

Conclusions:

  • The novel technique provides secure scleral fixation for the Akreos AO60 IOL.
  • Burying Gore-Tex sutures minimizes exposure risks and enhances cosmesis.
  • This modification shows potential for improved long-term outcomes.