Secondary Implantation of Scleral Fixated Intraocular Lenses without Scleral Flap Technique
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Abstract
The purposes of this study was to evaluate the outcome of secondary implantation
of scleral fixated posterior chamber intraocular lenses (PC IOL) without scleral flap
technique. This retrospective study comprised 10 consecutive patients: 5 intraocular lens
(IOL) dislocation, 2 trauma with posterior capsule injury, 1 subluxated crystalline lens and
2 posterior capsular rupture during cataract. All patients had secondary implantation of a
PC IOL with scleral fixated PC IOL without scleral flap technique between 2012 – 2015.
The surgical technique was performed according to the described procedure. The postoperative
outcomes, safety, and complication rates were analyzed, and the preoperative and
postoperative best corrected visual acuities (BCVAs) were compared.
The results of this study included 10 eyes of 10 patients. There were 6 male and
4 female patients. The patients’ age ranged from 43 to 86 years, with a mean of 69.3 years.
The preoperative best corrected visual acuity (BCVA) ranged from 20/50 to counting fingers
1 ft, and the postoperative BCVA ranged from 20/20 to 5/200. The length of follow-up
period ranged from 8 to 50 months, with a mean of 24.3 months. The scleral suture
fixation-related early and late complications included 1 transient raise of intraocular pressure,
1 uveitis, 1 tilted IOL and 1 epiretinal membrane.
A scleral fixated posterior chamber intraocular lens without scleral flap technique is
an easy, safe and effective way to achieve secondary IOL implantation with good visual
outcomes.
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