Table 1 Postoperative complications of scleral fixation using the Gore-Tex suture
Suture type | Specific fixation technique | IOL type | No of eyes | Follow-up period | Postoperative complications rate | References |
|---|---|---|---|---|---|---|
Gore-Tex suture | Ab externo scleral fixation | Bausch and Lomb Akreos AO60 or Alcon CZ70BD | 85 | Mean 325 (range 90–996) days | Hypotony 9.4% Ocular hypertension 7% VH 7% Hyphema 2% Serous choroidal detachment 2% Cystoid macular oedema 2% Corneal oedema 1% | [114] |
Transscleral fixation of the capsular bag | Not given | 56 | Mean 35.3 (range 0.25–120) months | Posterior capsular opacification 50% IOL dislocation 5.4% Uveitis-Glaucoma-Hyphema Syndrome 1.8% | [118] | |
Scleral fixation | Bausch and Lomb Akreos AO60 (Rochester, NY, USA) | 49 | Mean 6.9 (range 0.9–29.4) months | Ocular hypertension 16.3% Hypotony 12.2% Significant persistent corneal edema (longer than 1 week) 8.2% CME 6.1% VH 4.8% IOL tilt 4.1% Hyphema 4.1% | [119] | |
Scleral fixation | Bausch and Lomb Akreos AO60 (Bridgewater, NJ) | 30 | Mean 502 ± 165 (range 365–1,095) days | Early postoperative complicatios: VH 10% Transient corneal edema 6.7% CME 6.7% Ocular hypertension 3.3% Hyphema 3.3% Late postoperative complications: CME 3.3% | [169] | |
Concurrent pars plana vitrectomy and scleral fixation | Bausch and Lomb Akreos AO60 | 27 | Mean 200 ± 143 (range 33–576) days | Corneal edema 26.0% Ocular hypertension 25.9% Hypotony 7.4% CME 7.4% VH 7.4% Hyphema 3.7% | [170] | |
4-point sutured scleral fixation | Bausch and Lomb Akreos AO60 (Rochester, NY) | 63 | Mean 226.5 (range 27–883) days | CME (receiving an OCT within 3 months of surgery) 35% CME (not receiving an OCT within 3 months of surgery) 16% Transient ocular hypertension 15.9% VH 9.5% IOL tilt 4.7% Suture exposure 4.7% Persistent corneal edema 4.7% Retinal detachment 3.2% | [171] | |
Scleral fixation | A poly (methyl methacrylate) IOL with islets (Aurolab) of the appropriate dioptric power | 100 | Mean 23 months (range 12 months–5 years) | Early postoperative complications: VH 13% Retinal detachment 6% Transient hyphema 1% Late postoperative complications: CME 9% Epiretinal membrane 3% Bullous keratopathy 3% | [124] | |
4-point sutured scleral fixation | Bausch and Lomb Akreos AO60 (Bridgewater, NJ, USA) | 53 | Not given (the longest was ≥ 1 year) | CME 38.5% Postoperative hypotony 21.2% Corneal edema 5.8% Ocular hypertension 3.8% Macular hole 1.9% IOL dislocation 1.9% VH 1.9% Wound leak 1.9% Conjunctival cyst 1.9% | [120] | |
Modified small-incision technique of scleral fixation | Aspheric hydrophobic acrylic IOL (MicroPure 123, PhysIOL, Belgium) | 10 | Mean 396 (range 240–573) days | CME 30% Ocular hypertension 20% VH 20% | [172] | |
4-point sutured scleral fixation | Akreos AO60 | 20 | The longest 6Â months | Exposure of suture 40% Hypotony 15%, Ocular hypertension 10%, Transient VH 10% Retinal detachment 5% Transient lens opacification 5% | [125] | |
4-point transscleral fixation | Bausch and Lomb Akreos AO60 | 37 | Mean 548.9 (range 39–1564) days | Transient ocular hypertension 27.0% Transient corneal edema 18.9% CME 18.9% Self-limited hypotension 5.4% Self-limited VH 2.7% Central retinal vein occlusion 2.7% Late retinal detachment 2.7% IOL opacification 2.7% | [173] | |
4-point sutured scleral fixation | Bausch and Lomb Akreos AO60 (AK; Bridgewater, New Jersey, USA) | 24 | The longest was 53Â months | CME 4.2% Gore-Tex suture erosion 4.2% | [174] | |
Scleral fixation | Not given | 30 | The longest was 3Â months | IOL tilt 16.66% Anterior uveitis 13.33% Corneal edema 13.33% Hypotony 10% IOL decentration 10% CME 10% Choroidal detachment 7% High IOP 7% VH 6.66% | [117] | |
Pars plana vitrectomy and 4-point scleral fixation | Akreos AO60 | 101 | Mean 33.4 (range 12–62) months | Hypotony 12.9% Ocular hypertension 12.9% Corneal edema 8.9% CME 6.9% VH 5.9% Serous choroidal detachment 3.0% Hyphema 2.0% Retinal detachment 2.0% IOL decentralization 2.0% IOL opacification 1.0% Suture erosion 1.0% Pigment dispersion 1.0% Iris hernia 1.0% | [127] | |
4-point transscleral fixation | Bausch and Lomb Akreos AO60 (Bridgewater, NJ) | 20 | The longest was 6Â months | IOL tilt 45% VH 10% Corneal edema 5% Retinal detachment 5% | [87] | |
Scleral fixation | Rayner 620 H (Spherical, Worthing, UK) | 19 | The longest was 6Â months | Short-term complications: Corneal edema 16% IOP 11% Long-term complications: Increased IOP 5% Macular edema 5% | [175] |