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Background
To investigate the long-term outcomes and complications of scleral-fixated intraocular lens (SFIOL) implantation without conjunctival peritomies and sclerotomy in patients with a history of ocular trauma with inadequate capsular support during primary pars plana vitrectomy or silicone oil removal.
Methods
Records of ocular trauma patients who underwent implantation of SFIOL without conjunctival peritomies and sclerotomy during primary pars plana vitrectomy or silicone oil removal.
Results
Sixty-nine eyes of 69 patients were included in this study. The median follow-up period was 34 months (range, 6-99 months). The average patient age at the time of surgery was 44 years old (range, 4-80 years). At the end of follow-up, the preoperative mean of best corrected visual acuity (BCVA) was 0.79 ± 0.86 log of the minimum angle of resolution (logMAR), which improved 0.20 ± 0.26 logMAR postoperatively (P = 0.01). BCVA improved or remained unchanged in 64 eyes (92.8%), VA decreased two lines in five eyes (7.2%). Early postoperative complications included transient corneal edema in seven eyes (10.1%), minor vitreous hemorrhage in four eyes (5.8%), transient elevated intraocular pressure (IOP) in one eye (1.4%), and hypotony in three eyes (4.3%). Late postoperative complications included persistent elevated IOP in five eyes (7.2%), epiretinal membrane formation in three eyes (4.3%), and cystoid macular edema noted in one eye (1.4%).
Conclusions
Use of a scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients during either primary pars plana vitrectomy or second silicone oil removal is a valuable approach for the management of traumatic aphakia in the absence of capsular support.
Keywords
Scleral fixated intraocular lens, Vitrectomy, traumatic aphakic eyes, postoperative complications
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Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Ophthalmology.
Version 3
Posted 30 Jul, 2019
No community comments so far
Submission checks complete
On 07 Nov, 2019
Editorial decision: Accept
On 19 Jul, 2019
No comments provided
Editorial decision: Minor revision
On 16 Jul, 2019
Review #2 received
Received 13 Jul, 2019
Review #1 received
Received 07 Jul, 2019
Reviewer #2 agreed
On 25 Jun, 2019
Reviewer #1 agreed
On 22 Jun, 2019
Reviewers invited
Invitations sent on 20 Jun, 2019
Submission checks complete
On 16 Jun, 2019
Editor invited
On 16 Jun, 2019
Editor assigned
On 16 Jun, 2019
No comments provided
Editorial decision: Major revision
On 21 May, 2019
Review #2 received
Received 19 May, 2019
Review #1 received
Received 13 May, 2019
Reviewer #2 agreed
On 08 May, 2019
Reviewers invited
Invitations sent on 07 May, 2019
Reviewer #1 agreed
On 07 May, 2019
Editor assigned
On 06 May, 2019
Submission checks complete
On 06 May, 2019
Editor invited
On 06 May, 2019
First submitted
On 12 Apr, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Ophthalmology
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A new preprint design is coming!
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See the published version of this preprint at BMC Ophthalmology.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Ophthalmology.
Version 3
Posted 30 Jul, 2019
No community comments so far
Submission checks complete
On 07 Nov, 2019
Editorial decision: Accept
On 19 Jul, 2019
No comments provided
Editorial decision: Minor revision
On 16 Jul, 2019
Review #2 received
Received 13 Jul, 2019
Review #1 received
Received 07 Jul, 2019
Reviewer #2 agreed
On 25 Jun, 2019
Reviewer #1 agreed
On 22 Jun, 2019
Reviewers invited
Invitations sent on 20 Jun, 2019
Submission checks complete
On 16 Jun, 2019
Editor invited
On 16 Jun, 2019
Editor assigned
On 16 Jun, 2019
No comments provided
Editorial decision: Major revision
On 21 May, 2019
Review #2 received
Received 19 May, 2019
Review #1 received
Received 13 May, 2019
Reviewer #2 agreed
On 08 May, 2019
Reviewers invited
Invitations sent on 07 May, 2019
Reviewer #1 agreed
On 07 May, 2019
Editor assigned
On 06 May, 2019
Submission checks complete
On 06 May, 2019
Editor invited
On 06 May, 2019
First submitted
On 12 Apr, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Ophthalmology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Ophthalmology.
Background
To investigate the long-term outcomes and complications of scleral-fixated intraocular lens (SFIOL) implantation without conjunctival peritomies and sclerotomy in patients with a history of ocular trauma with inadequate capsular support during primary pars plana vitrectomy or silicone oil removal.
Methods
Records of ocular trauma patients who underwent implantation of SFIOL without conjunctival peritomies and sclerotomy during primary pars plana vitrectomy or silicone oil removal.
Results
Sixty-nine eyes of 69 patients were included in this study. The median follow-up period was 34 months (range, 6-99 months). The average patient age at the time of surgery was 44 years old (range, 4-80 years). At the end of follow-up, the preoperative mean of best corrected visual acuity (BCVA) was 0.79 ± 0.86 log of the minimum angle of resolution (logMAR), which improved 0.20 ± 0.26 logMAR postoperatively (P = 0.01). BCVA improved or remained unchanged in 64 eyes (92.8%), VA decreased two lines in five eyes (7.2%). Early postoperative complications included transient corneal edema in seven eyes (10.1%), minor vitreous hemorrhage in four eyes (5.8%), transient elevated intraocular pressure (IOP) in one eye (1.4%), and hypotony in three eyes (4.3%). Late postoperative complications included persistent elevated IOP in five eyes (7.2%), epiretinal membrane formation in three eyes (4.3%), and cystoid macular edema noted in one eye (1.4%).
Conclusions
Use of a scleral-fixated intraocular lens implantation without conjunctival peritomies and sclerotomy in ocular trauma patients during either primary pars plana vitrectomy or second silicone oil removal is a valuable approach for the management of traumatic aphakia in the absence of capsular support.
Figure 1
Figure 2
Figure 3
Figure 4
This is a list of supplementary files associated with this preprint. Click to download.
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