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Kyle N Kaneko - One of the best experts on this subject based on the ideXlab platform.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PCIOLs) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series. Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least 1 haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot-tying technique required 2 separate 10-0 polypropylene Sutures tied into 1 combined knot—1 Suture closed the fixation sclerotomy and created the scleral fixation, and 1 Suture looped together around the haptic of the PCIOL, securing the haptic to the scleral fixation site. The primary outcomes were position of the PCIOL at last follow-up, dislocation of either 1 or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%), with a mean follow-up of 6.0 years. The maximum stable follow-up with 2 intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were owing to unstable residual capsular support. There was 1 case of Suture breakage in 214 fixation Sutures (0.47%) and 1 case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long-term fixation of PCIOLs, with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to 24+ years.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Abstract Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PC IOL) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least one haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot tying technique required two separate 10-0 polypropylene Sutures tied into one combined knot – one Suture closed the fixation sclerotomy and created the scleral fixation, and one Suture looped together around the haptic of the PC IOL securing the haptic to the scleral fixation site. The primary outcomes were: position of the PCIOL at last follow-up, dislocation of either one or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%) with a mean follow-up of 6.0 years. The maximum stable follow-up with two intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were due to unstable residual capsular support. There was one case of Suture breakage in 214 fixation Sutures (0.47%), and one case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long term fixation of PC IOLs with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to over 24 years.
Gregg T Kokame - One of the best experts on this subject based on the ideXlab platform.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PCIOLs) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series. Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least 1 haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot-tying technique required 2 separate 10-0 polypropylene Sutures tied into 1 combined knot—1 Suture closed the fixation sclerotomy and created the scleral fixation, and 1 Suture looped together around the haptic of the PCIOL, securing the haptic to the scleral fixation site. The primary outcomes were position of the PCIOL at last follow-up, dislocation of either 1 or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%), with a mean follow-up of 6.0 years. The maximum stable follow-up with 2 intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were owing to unstable residual capsular support. There was 1 case of Suture breakage in 214 fixation Sutures (0.47%) and 1 case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long-term fixation of PCIOLs, with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to 24+ years.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Abstract Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PC IOL) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least one haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot tying technique required two separate 10-0 polypropylene Sutures tied into one combined knot – one Suture closed the fixation sclerotomy and created the scleral fixation, and one Suture looped together around the haptic of the PC IOL securing the haptic to the scleral fixation site. The primary outcomes were: position of the PCIOL at last follow-up, dislocation of either one or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%) with a mean follow-up of 6.0 years. The maximum stable follow-up with two intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were due to unstable residual capsular support. There was one case of Suture breakage in 214 fixation Sutures (0.47%), and one case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long term fixation of PC IOLs with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to over 24 years.
Jessica G Shantha - One of the best experts on this subject based on the ideXlab platform.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PCIOLs) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series. Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least 1 haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot-tying technique required 2 separate 10-0 polypropylene Sutures tied into 1 combined knot—1 Suture closed the fixation sclerotomy and created the scleral fixation, and 1 Suture looped together around the haptic of the PCIOL, securing the haptic to the scleral fixation site. The primary outcomes were position of the PCIOL at last follow-up, dislocation of either 1 or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%), with a mean follow-up of 6.0 years. The maximum stable follow-up with 2 intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were owing to unstable residual capsular support. There was 1 case of Suture breakage in 214 fixation Sutures (0.47%) and 1 case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long-term fixation of PCIOLs, with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to 24+ years.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Abstract Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PC IOL) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least one haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot tying technique required two separate 10-0 polypropylene Sutures tied into one combined knot – one Suture closed the fixation sclerotomy and created the scleral fixation, and one Suture looped together around the haptic of the PC IOL securing the haptic to the scleral fixation site. The primary outcomes were: position of the PCIOL at last follow-up, dislocation of either one or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%) with a mean follow-up of 6.0 years. The maximum stable follow-up with two intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were due to unstable residual capsular support. There was one case of Suture breakage in 214 fixation Sutures (0.47%), and one case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long term fixation of PC IOLs with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to over 24 years.
Ryan Yanagihara - One of the best experts on this subject based on the ideXlab platform.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PCIOLs) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series. Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least 1 haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot-tying technique required 2 separate 10-0 polypropylene Sutures tied into 1 combined knot—1 Suture closed the fixation sclerotomy and created the scleral fixation, and 1 Suture looped together around the haptic of the PCIOL, securing the haptic to the scleral fixation site. The primary outcomes were position of the PCIOL at last follow-up, dislocation of either 1 or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%), with a mean follow-up of 6.0 years. The maximum stable follow-up with 2 intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were owing to unstable residual capsular support. There was 1 case of Suture breakage in 214 fixation Sutures (0.47%) and 1 case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long-term fixation of PCIOLs, with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to 24+ years.
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long term outcome of pars plana vitrectomy and Sutured scleral fixated posterior chamber intraocular lens implantation or repositioning
American Journal of Ophthalmology, 2018Co-Authors: Gregg T Kokame, Ryan Yanagihara, Jessica G Shantha, Kyle N KanekoAbstract:Abstract Purpose To assess the long-term stability of Sutured scleral-fixated posterior chamber intraocular lenses (PC IOL) performed in combination with pars plana vitrectomy. Design Retrospective, consecutive, interventional case series Methods Retrospective single-surgeon study of 118 eyes of 111 patients seen at Retina Consultants of Hawaii, who underwent Sutured scleral fixation of at least one haptic of a posterior chamber intraocular lens with 10-0 polypropylene combined with a pars plana vitrectomy. The fixation knot tying technique required two separate 10-0 polypropylene Sutures tied into one combined knot – one Suture closed the fixation sclerotomy and created the scleral fixation, and one Suture looped together around the haptic of the PC IOL securing the haptic to the scleral fixation site. The primary outcomes were: position of the PCIOL at last follow-up, dislocation of either one or both haptics of the PCIOL, and breakage of the 10-0 polypropylene fixation Suture. Results PCIOLs remained well stabilized and positioned at last follow-up in 116 of 118 eyes (98.3%) with a mean follow-up of 6.0 years. The maximum stable follow-up with two intact fixation Sutures was 24.75 years. There were 4 cases of redislocation (3.4%), but 2 cases were due to unstable residual capsular support. There was one case of Suture breakage in 214 fixation Sutures (0.47%), and one case of haptic breakage. Conclusions Scleral fixation Sutures with 10-0 polypropylene provide excellent long term fixation of PC IOLs with a less than 0.5% incidence of Suture breakage and documented Suture stability for up to over 24 years.
Min Ho Kang - One of the best experts on this subject based on the ideXlab platform.
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novel technique to overcome the nonavailability of a long needle 9 0 polypropylene Suture for Sutured scleral fixation of the posterior chamber intraocular lens using a single fisherman s knot
Journal of Ophthalmology, 2017Co-Authors: Yong Un Shin, Mincheol Seong, Min Ho KangAbstract:Purpose. To describe a method to overcome the nonavailability of a long needle 9-0 polypropylene Suture for Sutured scleral fixation of the posterior chamber intraocular lens (PC-IOL) using a single fisherman’s knot (SFK). Methods. First, a 10-0 polypropylene Suture was passed from the sclera to the ciliary sulcus using a long needle. A 9-0 Suture was tied to the unpassed portion of the 10-0 Suture with an SFK. We pulled the 10-0 Suture to pass the SFK through the sclera, and then we cut the knot and removed the 10-0 Suture. IOL fixation with 9-0 Sutures used the conventional techniques used for Sutured scleral-fixated IOL. Preoperative and postoperative visual acuity, corneal astigmatism, and endothelial cell count and intraoperative/postoperative complications were evaluated. Results. An SFK joining the two Sutures was passed through the sclera without breakage or slippage. A total of 35 eyes from 35 patients who underwent Sutured scleral fixation of the IOL. An intraoperative complication (minor intraocular hemorrhage) was recorded in four cases. Knot exposure, IOL dislocation, subluxation, and retinal detachment were not observed. Conclusions. The SFK offers the opportunity to use 9-0 Sutures for the long-term safety and may not require the surgeon to learn any new technique.
