Purpose: To determine long-term anatomic outcomes and surgical complications after pars plana vitrectomy (PPV) and four-point Gore-Tex sutured Akreos AO60 intraocular lens (IOL) scleral fixation.
Design: Retrospective, multicenter, multisurgeon case series.
Participants: Ninety-seven patients in tertiary eye care centers.
Methods: The patients underwent PPV and intraocular fixation of the Akreos AO60 IOL using Gore-Tex CV-8 sutures between January 2015 and April 2020. The inclusion criteria were aphakia, no capsular support, and a minimal 1-year follow-up.
Main Outcome Measures: Uncorrected visual acuity (VA), complication rates/types, and refraction.
Results: Data from 101 eyes of 97 patients were analyzed (mean follow-up, 33.4 months; range, 12-62). The mean ± standard deviation uncorrected logarithm of the minimum angle of resolution VA improved from 1.04 ± 0.73 (20/200 Snellen equivalent) preoperatively to 0.66 ± 0.65 (20/80) at 6 months postoperatively (P < 0.001). The most prevalent complications included hypotony (12.9%), ocular hypertension (12.9%), corneal edema (8.9%), cystoid macular edema (6.9%), and vitreous hemorrhage (5.9%). Refractions were measured between 3 and 6 months postoperatively, and 61.8% of the spherical equivalents were ± 2.0 diopters. Most complications occurred in the first postoperative month and resolved spontaneously or with medical treatment.
Conclusions: The results demonstrated that this surgical technique is well tolerated by the eye with a low complication rate in the long term. IOL opacification rates were infrequent for up to 62 months of follow-up.

DOI: 10.1016/j.oret.2022.07.006

Ophthalmology Retina

Accepted Date: 11 July 2022

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