TY - JOUR
T1 - OPACIFICATION OF A SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS
T2 - SURGICAL TECHNIQUE FOR REMOVAL
AU - Lavine, Jeremy A.
AU - Sharma, Sumit
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.
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U2 - 10.1097/ICB.0000000000000906
DO - 10.1097/ICB.0000000000000906
M3 - Article
C2 - 31923039
AN - SCOPUS:85121014956
SN - 1935-1089
VL - 15
SP - 738
EP - 740
JO - Retinal Cases and Brief Reports
JF - Retinal Cases and Brief Reports
IS - 6
ER -