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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.
Purpose:
To describe a novel scleral fixation technique for the Akreos AO60 intraocular lens using Gore-Tex sutures buried within the sclera to minimize long-term exposure-related complications and improve cosmetic outcomes.
Methods:
Four eyes of four patients underwent scleral fixation of the Akreos AO60 lens using the modified ab externo approach. Outcomes included best-corrected visual acuity, intraocular lens centration, and suture-related complications.
Results:
Preoperative best-corrected visual acuity ranged from 20/60 to 20/300. Postoperative best-corrected visual acuity ranged from 20/30 to 20/90 at final follow-up. All IOLs remained well-centered with no visible suture on external exam. One patient developed transient postoperative hypotony and a macula-off retinal detachment 1 month after lens fixation, which was successfully repaired with pars plana vitrectomy. No patients required additional surgery related to the intraocular lens or suture material.
Conclusion:
The described technique allows secure scleral fixation of the Akreos AO60 intraocular lens while minimizing the risk of Gore-Tex suture exposure. This modification may improve long-term outcomes and cosmesis.
