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Longer axial length is associated with better prediction for refractive error after sutureless flanged intrascleral fixation of intraocular lens

Eye volume 38, pages 988–993 (2024)Cite this article

Subjects

Abstract

Objective

To investigate refractive outcomes and associated factors after sutureless flanged intrascleral fixation of intraocular lens (SFIF-IOL).

Methods

We retrospectively reviewed the medical records of consecutive patients who underwent SFIF-IOL at a single centre. The prediction error (PE; difference between the achieved and target refractive error) and absolute PE (APE) were analysed. Risk factors associated with refractive surprise, defined as APE > +0.5 D, were investigated using multivariable logistic regression analysis.

Results

Ninety-one eyes were included. At the final follow-up, the mean PE and APE were +0.07 ± 0.88 and +0.68 ± 0.56 D, respectively. Refractive surprise was observed in 44 eyes (54.3%) and was associated with a shorter axial length (AL) [odds ratio, 0.825; 95% confidence interval, 0.688–0.991; P = 0.039]. APE showed a significant correlation with AL at the final visit (⍴ = −0.269, P = 0.010), and eyes with AL ≥ 26 mm had significantly lower APE than did those with AL of 24–26 mm (P = 0.021) and AL < 24 mm (P = 0.0059).

Conclusions

The refractive outcome after SFIF-IOL using manufacturer’s A constant was favourable on average. Eyes with a longer AL were more likely to show a smaller deviation from the target refraction.

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Fig. 1: Relationship between axial lengths and refractive outcomes.
Fig. 2: Boxplots of axial length subgroups.

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Data availability

The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.

References

  1. Chan CK. An improved technique for management of dislocated posterior chamber implants. Ophthalmology. 1992;99:51–57.

    Article  CAS  PubMed  Google Scholar 

  2. Bloom SM, Wyszynski RE, Brucker AJ. Scleral fixation suture for dislocated posterior chamber intraocular lens. Ophthalmic Surg. 1990;21:851–4.

    CAS  PubMed  Google Scholar 

  3. Friedberg MA, Pilkerton AR. A new technique for repositioning and fixating a dislocated intraocular lens. Arch. Ophthal. 1992;110:413–5.

    Article  CAS  PubMed  Google Scholar 

  4. Khan MA, Gupta OP, Smith RG, Ayres BD, Raber IM, Bailey RS, et al. Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile. Br. J. Ophthalmol. 2016;100:638–43.

    Article  PubMed  Google Scholar 

  5. Vote BJ, Tranos P, Bunce C, Charteris DG, Da Cruz L. Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation. Am. J. Ophthalmol. 2006;141:308–12.

    Article  PubMed  Google Scholar 

  6. Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology. 2017;124:1136–42.

    Article  PubMed  Google Scholar 

  7. Do JR, Park SJ, Mukai R, Kim HK, Shin JP, Park DH. A 1-year prospective comparative study of sutureless flanged intraocular lens fixation and conventional sutured scleral fixation in intraocular lens dislocation. Ophthalmologica. 2021;244:68–75.

    Article  PubMed  Google Scholar 

  8. Mizuno Y, Sugimoto Y. A comparative study of transscleral suture-fixated and scleral-fixated intraocular lens implantation. Int. Ophthalmol. 2019;39:839–45.

    Article  PubMed  Google Scholar 

  9. Rocke JR, McGuinness MB, Atkins WK, Fry LE, Kane JX, Fabinyi DCA, et al. Refractive outcomes of the Yamane flanged intrascleral haptic fixation technique. Ophthalmology. 2020;127:1429–31.

    Article  PubMed  Google Scholar 

  10. Kakisu M, Baba T, Tatsumi T, Iwase T, Nizawa T, Miura G, et al. Refractive errors after sutureless intrascleral fixation of intraocular lens. Graefes Arch. Clin. Exp. Ophthalmol. 2021;259:3003–9.

    Article  PubMed  Google Scholar 

  11. Lee R, Govindaraju V, Farley ND, Abbey AM, Stem MS, Shields RA, et al. Refractive outcomes after sutureless intrascleral fixation of intraocular lens with pars plana vitrectomy. Retina. 2021;41:822–6.

    Article  PubMed  Google Scholar 

  12. Tang Y, Gao Y, Chu Y, Liu Y, Han Q. Modified Yamane technique with a 26-gauge needle: single corneal incision and simplified haptic insertion. J. Cataract Refract. Surg. 2022;48:e1–e4.

    Article  PubMed  Google Scholar 

  13. McMillin J, Wang L, Wang MY, Al-Mohtaseb Z, Khandelwal S, Weikert M, et al. Accuracy of intraocular lens calculation formulas for flanged intrascleral intraocular lens fixation with double-needle technique. J. Cataract Refract. Surg. 2021;47:855–8.

    Article  PubMed  Google Scholar 

  14. Connell BJ, Kane JX. Comparison of the Kane formula with existing formulas for intraocular lens power selection. BMJ Open Ophthalmol. 2019;4:e000251.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Narváez J, Zimmerman G, Stulting DR, Chang DH. Accuracy of intraocular lens power prediction using the Hoffer Q, Holladay 1, Holladay 2, and SRK/T formulas. J. Cataract Refract. Surg. 2006;32:2050.

    Article  PubMed  Google Scholar 

  16. Kane JX, Van Heerden A, Atik A, Petsoglou C. Intraocular lens power formula accuracy: Comparison of 7 formulas. J. Cataract Refract. Surg. 2016;42:1490.

    Article  PubMed  Google Scholar 

  17. Darcy K, Gunn D, Tavassoli S, Sparrow J, Kane JX. Assessment of the accuracy of new and updated intraocular lens power calculation formulas in 10 930 eyes from the UK National Health Service. J. Cataract Refract. Surg. 2020;46:2–7.

    PubMed  Google Scholar 

  18. Aristodemou P, Knox Cartwright NE, Sparrow JM, Johnston RL. Formula choice: Hoffer Q, Holladay 1, or SRK/T and refractive outcomes in 8108 eyes after cataract surgery with biometry by partial coherence interferometry. J. Cataract Refract. Surg. 2011;37:63–71.

    Article  PubMed  Google Scholar 

  19. Olsen T. Calculation of intraocular lens power: a review. Acta Ophthalmol. Scand. 2007;85:472–85.

    Article  PubMed  Google Scholar 

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Acknowledgements

Not applicable.

Funding

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science and ICT (Information and Communication Technology, NRF-2021R1F1A1045417).

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Author notes

  1. These authors contributed equally: Eun Kyoung Lee, Un Chul Park.

Authors and Affiliations

  1. Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea

    Richul Oh, Kunho Bae, Chang Ki Yoon, Chang Ho Yoon, Eun Kyoung Lee & Un Chul Park

  2. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea

    Richul Oh, Kunho Bae, Chang Ki Yoon, Chang Ho Yoon, Eun Kyoung Lee & Un Chul Park

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  1. Richul Oh
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Contributions

R.O. acquired and analysed the data, drafted the initial manuscript, and revised the manuscript. K.B., C.K.Y. conceptualized and designed the study, and collected data. C.H.Y. critically reviewed the manuscript. U.C.P., E.K.L. conceptualized and designed the study, coordinated and supervised data collection, analysed the data, critically reviewed the manuscript, and revised the manuscript. All authors read and approved the final manuscript.

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Correspondence to Eun Kyoung Lee or Un Chul Park.

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Oh, R., Bae, K., Yoon, C.K. et al. Longer axial length is associated with better prediction for refractive error after sutureless flanged intrascleral fixation of intraocular lens. Eye 38, 988–993 (2024). https://doi.org/10.1038/s41433-023-02819-y

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