title: Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile.
abstract: OBJECTIVE
  To report the short-term safety profile and clinical outcomes of scleral fixation of intraocular lenses (IOLs) using Gore-Tex suture.
  
  
  METHODS
  Retrospective, interventional case series. 85 eyes of 84 patients undergoing ab externo scleral fixation of a Bausch and Lomb Akreos AO60 or Alcon CZ70BD IOL using Gore-Tex suture. Primary outcome measures were change in visual acuity and occurrence of intraoperative and postoperative complications with minimum follow-up of 90 days.
  
  
  RESULTS
  85 eyes of 84 patients were identified. Mean logarithm of the minimum angle of resolution visual acuity improved from 1.43±0.72 (20/538 Snellen equivalent) preoperatively to 0.64±0.61 (20/87 Snellen equivalent) postoperatively (p<0.001). Mean follow-up was 325 days (median 264 days, range 90-996 days). There were no intraoperative complications noted. Postoperative complications included hypotony in eight patients (9.4%), ocular hypertension in six eyes (7%), vitreous haemorrhage in six eyes (7%), hyphema in two eyes (2%), serous choroidal detachment in two eyes (2%), cystoid macular oedema in two eyes (2%) and corneal oedema in one eye (1%). There were no cases of postoperative endophthalmitis, suture erosion/breakage, retinal detachment, suprachoroidal haemorrhage, uveitis-glaucoma-hyphema syndrome or persistent postoperative inflammation in the follow-up period.
  
  
  CONCLUSIONS
  Ab externo scleral fixation of IOLs with Gore-Tex suture was well tolerated in all cases. No suture-related complications were encountered. This procedure led to improvement in visual acuity and was not associated with significant intraoperative or postoperative complications.
authors: Retina Service Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: M Ali
authors: MA
authors: Khan
authors: Retina Service Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Omesh P
authors: OP
authors: Gupta
authors: Retina Service Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Ryan G
authors: RG
authors: Smith
authors: Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Brandon D
authors: BD
authors: Ayres
authors: Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Irving M
authors: IM
authors: Raber
authors: Cataract and Primary Eye Care Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Robert S
authors: RS
authors: Bailey
authors: Retina Service Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Jason
authors: J
authors: Hsu
authors: Retina Service Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
authors: Marc J
authors: MJ
authors: Spirn
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology*; D055815:Young Adult
chemical_list: D011138:Polytetrafluoroethylene
keywords: Lens and zonules; Posterior Chamber; Sclera and Episclera; Treatment Surgery