Four-point Scleral Fixation using the Single-loop Suture Technique for Posterior Chamber Intraocular Lens Implantation: Long-Term Follow-up Results
10.21561/jor.2026.11.1.36
- Author:
Myung Ae KIM
1
;
Moon Young CHOI
;
Hyun Sub OH
Author Information
1. Retina Center, Daegu Nune Eye Hospital, Daegu, Korea
- Publication Type:ORIGINAL ARTICLE
- From:
Journal of Retina
2026;11(1):36-43
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:To investigate results of the single-loop suture scleral fixation technique with long-term follow-up.
Methods:This retrospective study analyzed patients who underwent scleral fixation using the single-loop suture technique between January 2010 and June 2024 with a minimum follow-up period of one year. Ophthalmic outcomes and complications including polypropylene suture type and re-operation rates were evaluated.
Results:A total of 215 eyes in 201 patients were included. Polypropylene suture types used included 10-0 in 52.1% (112 of 215), 9-0 in 44.2% (95 of 215), and 3.7% (8 of 215) remained unconfirmed. The re-operation rate was 22.3% (25 of 112) with 10-0 polypropylene, 1.1% (1 of 95) with 9-0 polypropylene, and 12.1% (26 of 215) in total. Intraocular lens repositioning was needed in 0.9% (2 of 215). Postoperative intraocular pressure (IOP) elevation occurred in 51.6% (83 of 161) of patients without baseline glaucoma history; 94.0% (78 of 83) of cases were well controlled with glaucoma medication and 44.6% (37 of 83) were able to discontinue it.
Conclusions:Single-loop suture scleral fixation is a safe and effective surgical technique with a low incidence of serious complications.This technique leads to stable lens centering with a low rate of lens repositioning. Polypropylene suture type can affect the re-operation rate. Close monitoring of IOP is recommended.
