Transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens in aphakic nonvitrectomized eyes

Purpose: To evaluate the outcome of transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens (PCIOL) in aphakia in nonvitrectomized eyes. Materials and Methods: Patients with postcataract surgery aphakia, trauma with posterior capsule injury, subluxated crystalline lens...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2015-08, Vol.63 (8), p.649-653
Main Authors: Agrawal, Siddharth, Singh, Vinita, Gupta, Sanjiv, Misra, Nibha, Srivastava, Rajat
Format: Article
Language:English
Subjects:
Acrylic posterior chamber intraocular lens
Adolescent
Adult
Aphakia
Aphakia, Postcataract - physiopathology
Aphakia, Postcataract - surgery
Care and treatment
Eye surgery
Female
Follow-Up Studies
Humans
Lens Implantation, Intraocular - methods
Male
Medical research
Methods
Middle Aged
Original
Patient outcomes
Precision medicine
Prosthesis Design
Retrospective Studies
scleral-fixated intraocular lens
Suture Techniques
Time Factors
transscleral fixation
Treatment Outcome
Visual Acuity
Vitrectomy
Young Adult
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Summary:Purpose: To evaluate the outcome of transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens (PCIOL) in aphakia in nonvitrectomized eyes. Materials and Methods: Patients with postcataract surgery aphakia, trauma with posterior capsule injury, subluxated crystalline lens, and per operative complications where sulcus implantation was not possible were included over a 1-year period. Scleral fixation of acrylic hydrophilic PCIOL was performed according to the described technique, and the patients were evaluated on the day 1, 3, 14, and at 3 and 12 months postoperatively for IOL centration, pseudophakodonesis, change in best-corrected visual acuity (BCVA), and any other complications. Results: Out of twenty-nine eyes of 24 patients, who completed the study, 25 (86.2%) eyes had improved, 2 (6.9%) eyes showed no change, and 2 (6.9%) eyes had worsening of BCVA. Three (10.3%) eyes developed postoperative complications. A significant improvement in mean BCVA (P < 0.0001) was observed after the procedure. Mean duration of follow-up was 26.2 months (range 22-35 months). Conclusion: The use of closed loop haptic acrylic IOL for scleral fixation appears to be safe and effective alternative to conventional scleral fixated polymethyl methacrylate intraocular lenses.
ISSN:0301-4738
1998-3689
DOI:10.4103/0301-4738.169797