Long-Term Outcomes of Gore-Tex Sutured Scleral-Fixated Intraocular Lenses and Pars Plana Vitrectomy.

Authors

Luis Acaba-Berrocal, Jake Mathew, Mitchell S Fineman, Marc J Spirn, Jason Hsu, James Vander, Allen C Ho, Sunir J Garg, Allen Chiang, Arunan Sivalingam, Omesh P Gupta

Published in

Retina (Philadelphia, Pa.). Aug 25, 2026. Epub Aug 25, 2026.

Abstract

To evaluate long-term visual and anatomical outcomes and complications following combined pars plana vitrectomy (PPV) and scleral fixation of intraocular lenses (IOLs) using Gore-Tex (polytetrafluoroethylene, PTFE) suture. With an average follow up of 10 years, this study provides longitudinal data on this increasingly common technique.
Single-center retrospective review of patients who underwent combined PPV and PTFE scleral sutured IOL fixation between 2012 and 2016 with a minimum follow-up of 7 years. Main outcome measures were best-corrected visual acuity (BCVA) at 3 months, 1 year, 5 years, and final follow-up, as well as the incidence and type of postoperative complications.
A total of 55 eyes of 55 patients with a mean follow-up of 10 years (range, 7-12) were included. The mean age was 65 years (range, 32-91), and 71% were male. Mean BCVA improved from 20/300 (1.17 ± 0.92 logMAR) preoperatively to 20/70 (0.55 ± 0.72 logMAR) at 3 months postoperatively (p<0.001). Statistically significant visual improvement was maintained at 1 year (p=0.01), 5 years (p=0.03), and final follow up (p=0.02). Postoperative complications included cystoid macular edema in 6 eyes (11%), persistent corneal edema in 2 eyes (3.6%) that required corneal transplantation, visually significant IOL tilt in 2 eyes (3.6%), and suture exposure in 2 eyes (3.6%). There were no cases of endophthalmitis or suture breakage.
Scleral fixation of IOLs using PTFE suture demonstrates significant visual improvement and a low rate of suture-related complications and reoperations over a 10-year follow-up period.

PMID:
42640653
Bibliographic data and abstract were imported from PubMed on 26 Aug 2026.

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