Clinical Ophthalmology (Dec 2020)

Refractive Outcomes of Four-Point Scleral Fixation of Akreos AO60 Intraocular Lens Using Gore-Tex Suture

  • Patel NA,
  • Fan KC,
  • Yannuzzi NA,
  • Fortun JA,
  • Haddock LJ,
  • Yoo SH,
  • Persad PJ,
  • Vanner EA,
  • Read SP,
  • Williams BK Jnr,
  • Sridhar J,
  • Albini TA,
  • Flynn HW Jnr,
  • Donaldson K,
  • Townsend JH

Journal volume & issue
Vol. Volume 14
pp. 4431 – 4437

Abstract

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Nimesh A Patel,1 Kenneth C Fan,1 Nicolas A Yannuzzi,1 Jorge A Fortun,1 Luis J Haddock,1 Sonia H Yoo,1 Patrice J Persad,1 Elizabeth A Vanner,1 Sarah P Read,2 Basil K Williams Jnr,1,3 Jayanth Sridhar,1 Thomas A Albini,1 Harry W Flynn Jnr,1 Kendall Donaldson,1 Justin H Townsend1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA; 2Retina Consultants of Hawaii, Aiea, HI, USA; 3Department of Ophthalmology, University of Cincinnati College of Medicine, Cincinnati, OH, USACorrespondence: Justin H Townsend Email [email protected]/Objective: To determine the refractive outcomes after 4-point scleral fixation of the Akreos AO60 intraocular lens with Gore-Tex suture.Methods: This was a single referral center, multi-surgeon, retrospective consecutive case series. A total of 63 eyes met the inclusion criteria for having received surgical implantation of the Akreos AO60 intraocular lens with Gore-Tex suture from August 2014 to December 2018. Exclusion criteria included all ocular pathology that precluded an accurate refraction, concurrent ocular surgery, poor corrected pre-operative visual potential, among other factors. Main outcome measures included post-operative uncorrected visual acuity (VA), best-corrected VA, and spherical equivalent deviation from target.Results: Mean pre-operative BCVA was 0.67 ± 0.64 LogMAR (20/93 Snellen). Mean final post-operative BCVA was 0.17 ± 0.18 (20/28 Snellen) and mean final post-operative UCVA was 0.31 ± 0.22 (20/41 Snellen). Mean post-operative spherical equivalent was − 0.57 D. Mean post-operative astigmatism was 0.85 D.Conclusion: Refractive outcomes after secondary implantation with Akreos AO60 are favorable in eyes with good visual potential.Keywords: Akreos AO60 lens, Gore-Tex, refractive outcomes secondary intraocular lens, scleral fixated IOL

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