OPACIFICATION OF A SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS: SURGICAL TECHNIQUE FOR REMOVAL

Jeremy A. Lavine; Sumit Sharma

doi:10.1097/ICB.0000000000000906

OPACIFICATION OF A SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS: SURGICAL TECHNIQUE FOR REMOVAL

Jeremy A. Lavine, Sumit Sharma^*

^*Corresponding author for this work

Ophthalmology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Purpose:To report a case of an opacified scleral-sutured Akreos intraocular lens (IOL) and discuss the technique for surgical removal.Methods:A 27-year-old man presented with blurry vision in the right eye 1 year after trauma, pars plana vitrectomy, glaucoma tube shunt surgery, and a scleral-sutured Akreos AO60 IOL. Examination demonstrated a visual acuity of 20/300, a persistently dilated pupil, 360° of peripheral anterior synechiae, and an opacified IOL. The patient underwent IOL explantation.Results:Owing to the expected granulation of the Gore-Tex suture, an external approach for suture ligation was not attempted. The suture was identified and ligated nasally with forceps and IOL cutting scissors. The Gore-Tex suture was granulated into the ciliary body temporally and was unable to be identified. The eyelets of the Akreos IOL were ligated to remove the IOL.Conclusion:Granulation of the Gore-Tex suture into the ciliary body and sclera requires an internal approach for ligation of the suture or eyelets to remove an opacified scleral-sutured Akreos IOL.

Original language	English (US)
Pages (from-to)	738-740
Number of pages	3
Journal	Retinal Cases and Brief Reports
Volume	15
Issue number	6
DOIs	https://doi.org/10.1097/ICB.0000000000000906
State	Published - Nov 1 2021

Funding

The Akreos AO60 (Bausch and Lomb, Bridgewater, NJ) has gained increasing popularity for secondary scleral-sutured intraocular lens (IOL) placement in patients without capsular support. The Akreos AO60 IOL is advantageous because it is foldable, can be inserted through a 3-mm to 4-mm clear corneal incision, and has four eyelets, allowing for four-point fixation and reducing IOL tilt. These attributes make the Akreos AO60 more favorable for some surgeons than the CZ70BD (Alcon Laboratories, Fort Worth, TX), which is nonfoldable, requires a large 7-mm incision, and only has two eyelets, which may increase the risk of IOL tilt.

Keywords

Akreos
Gore-Tex
calcium
hydrophilic
intraocular lens
opacification
scleral-sutured

ASJC Scopus subject areas

Ophthalmology

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10.1097/ICB.0000000000000906

Cite this

@article{3617aee2c00e434dab6d507e683f27d8,

title = "OPACIFICATION OF A SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS: SURGICAL TECHNIQUE FOR REMOVAL",

abstract = "Purpose:To report a case of an opacified scleral-sutured Akreos intraocular lens (IOL) and discuss the technique for surgical removal.Methods:A 27-year-old man presented with blurry vision in the right eye 1 year after trauma, pars plana vitrectomy, glaucoma tube shunt surgery, and a scleral-sutured Akreos AO60 IOL. Examination demonstrated a visual acuity of 20/300, a persistently dilated pupil, 360° of peripheral anterior synechiae, and an opacified IOL. The patient underwent IOL explantation.Results:Owing to the expected granulation of the Gore-Tex suture, an external approach for suture ligation was not attempted. The suture was identified and ligated nasally with forceps and IOL cutting scissors. The Gore-Tex suture was granulated into the ciliary body temporally and was unable to be identified. The eyelets of the Akreos IOL were ligated to remove the IOL.Conclusion:Granulation of the Gore-Tex suture into the ciliary body and sclera requires an internal approach for ligation of the suture or eyelets to remove an opacified scleral-sutured Akreos IOL.",

keywords = "Akreos, Gore-Tex, calcium, hydrophilic, intraocular lens, opacification, scleral-sutured",

author = "Lavine, {Jeremy A.} and Sumit Sharma",

note = "Funding Information: The Akreos AO60 (Bausch and Lomb, Bridgewater, NJ) has gained increasing popularity for secondary scleral-sutured intraocular lens (IOL) placement in patients without capsular support. The Akreos AO60 IOL is advantageous because it is foldable, can be inserted through a 3-mm to 4-mm clear corneal incision, and has four eyelets, allowing for four-point fixation and reducing IOL tilt. These attributes make the Akreos AO60 more favorable for some surgeons than the CZ70BD (Alcon Laboratories, Fort Worth, TX), which is nonfoldable, requires a large 7-mm incision, and only has two eyelets, which may increase the risk of IOL tilt. Publisher Copyright: {\textcopyright} 2021 Lippincott Williams and Wilkins. All rights reserved.",

year = "2021",

month = nov,

day = "1",

doi = "10.1097/ICB.0000000000000906",

language = "English (US)",

volume = "15",

pages = "738--740",

journal = "Retinal Cases and Brief Reports",

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publisher = "Lippincott Williams and Wilkins",

number = "6",

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TY - JOUR

T1 - OPACIFICATION OF A SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS

T2 - SURGICAL TECHNIQUE FOR REMOVAL

AU - Lavine, Jeremy A.

AU - Sharma, Sumit

N1 - Funding Information: The Akreos AO60 (Bausch and Lomb, Bridgewater, NJ) has gained increasing popularity for secondary scleral-sutured intraocular lens (IOL) placement in patients without capsular support. The Akreos AO60 IOL is advantageous because it is foldable, can be inserted through a 3-mm to 4-mm clear corneal incision, and has four eyelets, allowing for four-point fixation and reducing IOL tilt. These attributes make the Akreos AO60 more favorable for some surgeons than the CZ70BD (Alcon Laboratories, Fort Worth, TX), which is nonfoldable, requires a large 7-mm incision, and only has two eyelets, which may increase the risk of IOL tilt. Publisher Copyright: © 2021 Lippincott Williams and Wilkins. All rights reserved.

PY - 2021/11/1

Y1 - 2021/11/1

N2 - Purpose:To report a case of an opacified scleral-sutured Akreos intraocular lens (IOL) and discuss the technique for surgical removal.Methods:A 27-year-old man presented with blurry vision in the right eye 1 year after trauma, pars plana vitrectomy, glaucoma tube shunt surgery, and a scleral-sutured Akreos AO60 IOL. Examination demonstrated a visual acuity of 20/300, a persistently dilated pupil, 360° of peripheral anterior synechiae, and an opacified IOL. The patient underwent IOL explantation.Results:Owing to the expected granulation of the Gore-Tex suture, an external approach for suture ligation was not attempted. The suture was identified and ligated nasally with forceps and IOL cutting scissors. The Gore-Tex suture was granulated into the ciliary body temporally and was unable to be identified. The eyelets of the Akreos IOL were ligated to remove the IOL.Conclusion:Granulation of the Gore-Tex suture into the ciliary body and sclera requires an internal approach for ligation of the suture or eyelets to remove an opacified scleral-sutured Akreos IOL.

AB - Purpose:To report a case of an opacified scleral-sutured Akreos intraocular lens (IOL) and discuss the technique for surgical removal.Methods:A 27-year-old man presented with blurry vision in the right eye 1 year after trauma, pars plana vitrectomy, glaucoma tube shunt surgery, and a scleral-sutured Akreos AO60 IOL. Examination demonstrated a visual acuity of 20/300, a persistently dilated pupil, 360° of peripheral anterior synechiae, and an opacified IOL. The patient underwent IOL explantation.Results:Owing to the expected granulation of the Gore-Tex suture, an external approach for suture ligation was not attempted. The suture was identified and ligated nasally with forceps and IOL cutting scissors. The Gore-Tex suture was granulated into the ciliary body temporally and was unable to be identified. The eyelets of the Akreos IOL were ligated to remove the IOL.Conclusion:Granulation of the Gore-Tex suture into the ciliary body and sclera requires an internal approach for ligation of the suture or eyelets to remove an opacified scleral-sutured Akreos IOL.

KW - Akreos

KW - Gore-Tex

KW - calcium

KW - hydrophilic

KW - intraocular lens

KW - opacification

KW - scleral-sutured

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OPACIFICATION OF A SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS: SURGICAL TECHNIQUE FOR REMOVAL

Abstract

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Keywords

ASJC Scopus subject areas

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