Eyelet fractures and scleral-sutured IOL dislocations, study warns of lens breakage

At the American Society of Retina Specialists’ 39th Annual Scientific Meeting, Nimesh Patel, MD, presented his research on intraocular lens (IOL) dislocation. His presentation, “Scleral-Sutured Intraocular Lens Dislocations Secondary to Eyelet Fractures” discussed secondary lens options, specifically zeroing in on the MX60 (Bausch + Lomb) lens.

Dr. Patel is a retina specialist at Massachusetts Eye and Ear and Boston Children's Hospital; an instructor, Harvard Medical School; and a voluntary assistant professor, Bascom Palmer Eye Institute.

Video transcript

Nimesh Patel, MD: Yeah I'm Nimo Patel from Mass Ear and Eye, Boston Children's Hospital and I'm one of the retina specialists there; I do adult and pediatric retina.

So our talk was mainly on eyelet fractures for secondary lenses. So there's a lot of different options for secondary lenses nowadays, ACIOLs, Yamane, Akreos [Bausch + Lomb] and what we did is we actually looked at the MX60 lens, and how some of those are breaking during surgery and after surgery. And we're now recommending against their use because of how often they're breaking. The suture was pulling on the eyelet, and we found 22 cases from 11 institutions in just a very short amount of time. So now we're really recommending against that—that indication.

The American Society of Retina Specialists (ASRS) hosted its 39th Annual Scientific Meeting from October 8-12, 2021, at the JW Marriott San Antonio Hill Country Resort and Spa in San Antonio, Texas.

According to ASRS, its 2021 scientific program offered attendees innovations in retina science, clinical practice, and surgery with 148 papers, 165 posters, 46 papers on demand, and 69 films, as well as a wide range of networking opportunities and the chance to exchange ideas and perspectives with peers.

Related Content: Additional ASRS 2021 Content | Conference Coverage | Ophthalmology