Scleral Fixation for Intraocular Lens-Bag Dislocation

University of Naples

Status: Completed

Conditions: Pseudoexfoliation Syndrome

Treatments: Procedure: Siepser knots

Study type: Observational

Funder types: Other

Identifiers

NCT06423079

Siep_001

Details and patient eligibility

About

Novel introflective sutures offer a minimally invasive approach for stable fixation of dislocated bag-IOL complexes, preserving visual acuity and reducing corneal complications in patients with pseudoexfoliation syndrome.

Full description

To assess the one-month outcomes of visual performance and positional stability of capsule-fixated intraocular lenses (IOLs) in patients with IOL-Bag complex dislocation. Patients with intraoperative complications or prior posterior capsule Nd-YAG laser were excluded. Surgical intervention involved creating a superior service keratotomy and using introflective sutures for IOL fixation. Best Corrected Visual acuity (BCVA), endothelial cell counts, and tonometry were assessed at multiple postoperative time points. We also evaluated the mean spherical equivalent (SE), and the residual cylinder and sphere at each follow-up.

Enrollment: 36 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients affected by pseudoexfoliation syndrome, with inferior dislocation of the bag-IOL complex

Exclusion criteria

• patients who underwent intraoperative complications,
• dislocation in the vitreous chamber of the bag-IOL complex,
• patients who had already undergone posterior capsule Nd-YAG laser

Trial design

36 participants in 1 patient group

IOL-Bag Dislocation patients

Description:

Patients affected by pseudoexfoliation syndrome, with inferior dislocation of the bag-IOL complex.

Treatment:

Procedure: Siepser knots