J Korean Ophthalmol Soc.  2021 Sep;62(9):1189-1197. 10.3341/jkos.2021.62.9.1189.

Outcomes of Re-fixation after the First Intraocular Lens Scleral Fixation

• Nah SK
• Kim JW
• Kim CG
• Kim JH

• KMID: 2520200
• DOI: http://doi.org/10.3341/jkos.2021.62.9.1189

Abstract

Purpose
To investigate the outcomes of re-fixation after the first intraocular lens (IOL) scleral fixation.
Methods
We retrospectively reviewed the charts of patients who underwent second IOL scleral fixation and vitrectomy for dislocation of IOL after the first IOL scleral fixation. We compared the best-corrected visual acuity (BCVA) and spherical equivalent (SE) after 1 month of the first and second surgery, and noted the complications.
Results
We included 21 eyes that underwent second IOL scleral fixation: 13 eyes (61.9%) with IOL exchange and eight (38.1%) with one-haptic fixation. Mean BCVAs (LogMAR) were 0.17 ± 0.25 and 0.11 ± 0.23 after the first and second surgery, respectively (p = 0.073); mean SEs were -0.94 ± 1.69 and -0.58 ± 1.46 diopters after the first and second surgery, respectively (p = 0.076). Postoperative complications occurred in eight eyes (38.1%), including temporarily increased intraocular pressure and suture knots exposure. However, none of the complications required re-operation.
Conclusions
The outcomes of primary and secondary IOL fixation were similar, and there were no serious complications of the second surgery.

Keyword

Dislocation, Intraocular lens, Refixation, Scleral fixation