The Medallion suture lens: management of complications.
In a study of 613 Medallion suture implant patients, 87% of the 613 and 96% of those under 70 years of age had a postoperative visual acuity of 20/40 or better. The most common operative complication was corneal endothelial trauma, which was graded and correlated with endothelial microscopy; however, only 0.5% of cases had permanent corneal opacification. Cystoid macular edema occurred in 32 cases (5.2%), and 56% (18) of these patients regained 20/40 vision or better. Implant loop subluxation occurred in 19 cases (3.1%), but this incidence should decrease by increasing implant loop tip-to-tip distance. The data presented put in perspective the relative importance of the various complications encountered, with primary emphasis on the management of these complications.
D001251:Astigmatism / Q000150:complications; D065306:Corneal Injuries; D003318:Corneal Opacity / Q000150:complications; D004487:Edema / Q000150:complications; D009877:Endophthalmitis / Q000150:complications; D004727:Endothelium; D006801:Humans; D007431:Intraoperative Complications; D007910:Lenses, Intraocular / Q000009:adverse effects / Q000592:standards*; D011183:Postoperative Complications; D012164:Retinal Diseases / Q000150:complications; D014792:Visual Acuity