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Lengthy-term advantages seen with Gore-Tex sutures for scleral fixation of IOLs


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August 06, 2025

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Key takeaways:

  • Visible acuity enhancements have been maintained by means of 7 years.
  • Few ocular issues have been reported postoperatively.

LONG BEACH, Calif. — Gore-Tex sutures for scleral fixation of IOLs preserve stability and have few ocular issues over the long run, in accordance with a examine.

In a presentation on the American Society of Retina Specialists annual assembly, Luis A. Acaba-Berrocal, MD, mentioned there are a number of methods for scleral fixation of IOLs.

Retina
Few ocular issues have been reported postoperatively. Picture: Adobe Inventory

“Polytetrafluoroethylene, higher often known as Gore-Tex, sutures have gained reputation resulting from their excessive tensile energy and sturdiness,” he mentioned. “Nonetheless, there’s no long-term knowledge on this, and thus, their long-term security and efficacy stay unknown.”

Acaba-Berrocal and colleagues carried out a retrospective consecutive sequence of 55 eyes of 55 sufferers who underwent mixed pars plana vitrectomy and IOL scleral fixation with Gore-Tex sutures between 2012 and 2016 with at the least 7 years of follow-up.

Imply visible acuity improved from 20/300 earlier than surgical procedure to twenty/70 at 3 months after surgical procedure (P < .001). The advance endured by means of 1, 5 and seven years after surgical procedure, in accordance with Acaba-Berrocal.

Fourteen circumstances had postoperative issues. Macular edema (11%) was the commonest complication, adopted by persistent corneal edema (7%), visually important lens tilt (3.6%) and suture publicity (3.6%). There have been no circumstances of suture erosion, suture breakage or endophthalmitis; one case skilled opacification.

“Gore-Tex sutures preserve stability and tensile energy in the long run,” Acaba-Berrocal mentioned. “They’re related to few ocular issues and are secure at at the least a 9-year follow-up interval.”