Clinical outcome of rescuing dislocated Akreos intraocular lens with closed continuous-loop suture

Abstract:

AIM: To report on the clinical outcomes of rescuing dislocated Akreos intraocular lenses (IOLs) with a closed continuous-loop suture technique (CCS). METHODS: A retrospective review of patients who underwent CCS for rescuing dislocated IOL between June 2017 and March 2023. The clinical primary outcomes were best-corrected visual acuity (BCVA), intraocular pressure (IOP), IOL positioning, and complications, assessed both preoperatively and for at least 3mo postoperatively. RESULTS: Nine patients (9 eyes) were reviewed with an average age of 48.67y (range, 18-67y), and a follow-up period averaging 11.67mo (ranging from 3 to 36mo). Post-surgery, the IOLs were well-centered and stable. The preoperative BCVA was 1.03±0.79 logMAR, improving to 0.5±0.48 logMAR at the last follow-up (P<0.05). Preoperative IOP of 20±6.84 mm Hg and postoperative IOP 16.11±5.65 mm Hg (P=0.182). The mean corneal endothelial cell density decreased from 2177±587 to 2080±581 cells/mm² in five patients (P=0.71) and the endothelial cell loss rate is 4.56%. CONCLUSION: CCS is an effective, safe, and minimally invasive method for rescuing and stabilizing dislocated Akreos IOLs.