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

• Main Authors: 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
• Format: Article
• Language: English
• Published: Dove Medical Press 2020-12-01
• Series: Clinical Ophthalmology
• Subjects: akreos ao60 lens; gore-tex; refractive outcomes secondary intraocular lens; scleral fixated iol
• Online Access: https://www.dovepress.com/refractive-outcomes-of-four-point-scleral-fixation-of-akreos-ao60-intr-peer-reviewed-article-OPTH

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 [e-mail]/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