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Scleral Fixation for Intraocular Lens-Bag Dislocation

Complex Intaocular Lens-Bag Fixation With Siepser's Scleral Sliding Knots

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06423079
Enrollment
36
Registered
2024-05-21
Start date
2017-05-10
Completion date
2022-05-10
Last updated
2024-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pseudoexfoliation Syndrome

Brief summary

Novel introflective sutures offer a minimally invasive approach for stable fixation of dislocated bag-IOL complexes, preserving visual acuity and reducing corneal complications in patients with pseudoexfoliation syndrome.

Detailed description

To assess the one-month outcomes of visual performance and positional stability of capsule-fixated intraocular lenses (IOLs) in patients with IOL-Bag complex dislocation. Patients with intraoperative complications or prior posterior capsule Nd-YAG laser were excluded. Surgical intervention involved creating a superior service keratotomy and using introflective sutures for IOL fixation. Best Corrected Visual acuity (BCVA), endothelial cell counts, and tonometry were assessed at multiple postoperative time points. We also evaluated the mean spherical equivalent (SE), and the residual cylinder and sphere at each follow-up.

Interventions

PROCEDURESiepser knots

Surgical intervention involved creating a superior service keratotomy and using introflective sutures for IOL fixation

Sponsors

University of Naples
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 90 Years

Inclusion criteria

* patients affected by pseudoexfoliation syndrome, with inferior dislocation of the bag-IOL complex

Exclusion criteria

* patients who underwent intraoperative complications, * dislocation in the vitreous chamber of the bag-IOL complex, * patients who had already undergone posterior capsule Nd-YAG laser

Design outcomes

Primary

MeasureTime frameDescription
Best corrected visual acuity1 yearto evaluate the best corrected visual acuity after the surgery

Secondary

MeasureTime frameDescription
Endothelial cells count1 yearto evaluate the Endothelial cells count after the surgery

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026