Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia
International Journal of Ophthalmology & Visual Science
Volume 1, Issue 1, November 2016, Pages: 25-28
Received: Nov. 29, 2016;
Accepted: Dec. 16, 2016;
Published: Jan. 13, 2017
Views 2394 Downloads 62
Rajendra K. Bisen, Vitreo-Retina Surgeon, Vasan Eye Care Hospital, Jabalpur, India
Sushil Tripathi, Consultant Ophthalmologist, Vasan Eye Care Hospital, Jabalpur, India
Sourabh Soni, Consultant Ophthalmologist, Vasan Eye Care Hospital, Jabalpur, India
Uma Thakur, Consultant Ophthalmologist, Vasan Eye Care Hospital, Jabalpur, India
Follow on us
Aim: Several techniques of scleral fixated-intraocular lens have been developed. We evaluate visual outcomes and safety of two different techniques of scleral fixated-intraocular lens in the setting of postoperative and post-traumatic aphakia. Methods: This retrospective study included 22 eyes of 22 patients, who had secondary IOL implantation surgery. The data including demographic data, ocular history, indication for surgery, preoperative and postoperative best corrected visual acuity (BCVA), intraocular pressure, detailed anterior and posterior segment evaluation using slit lamp bi-microscopy and indirect ophthalmoscopy were collected. The mean follow-up was 12 months ± 5.2 (SD) (range 12-16 months). Results: Overall, the final BCVA improved in 19 (86%) eyes, did not changed in 2 (9%), and worsened in 1 (4.5%) eye. No significant differences in BCVA were found in two techniques (p<0.2). Conclusion: Both techniques of scleral fixated PCIOL are feasible methods of managing post-traumatic and postoperative aphakia. However, functional outcomes are diverse, especially in post-traumatic cases. Longer follow-up in large population is required. Careful selection of cases and surgical method should be made before operation.
Aphakia, Intraocular Lens, Scleral Fixation
To cite this article
Rajendra K. Bisen,
Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia, International Journal of Ophthalmology & Visual Science.
Vol. 1, No. 1,
2016, pp. 25-28.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Scharioth GB, Prasad S, Georgalas I, Tataru C, Pavlidis M. Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation. J Cataract Refract Surg. 2010; 36 (2): 254–9.
Por YM, Lavin MJ. Techniques of intraocular lens suspension in the absence of capsular/ zonular support: diagnostic and surgical techniques: Marco zarbin and Chu David. Surv Ophthalmol. 2005; 50 (5): 429–461.
Chang DF. Siepser slipknot for McCannel iris-suture fixation of subluxated intraocular lenses. J Cataract Refract Surg. 2004; 30: 1170–1176.
Teichmann KD. Pars Plana fixation of posterior chamber intraocular lenses. Ophthalmic Surg. 1994; 25: 549–553.
Smiddy WE, Sawusch MR, O'Brien TP, Scott DR, Huang SS. Implantation of scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg. 1990; 16: 691–696.
Osher RH, Cionni RJ. The torn posterior capsule: its intraoperative behavior, surgical management, and long-term consequences. J Cataract Refract Surg. 1990; 16: 490–494.
Shashidhar S, Suresh Babu G, Shruthi Chandra, Manasa Penumetcha. “Primary Versus Secondary Implantation of Scleral Fixated Posterior Chamber Intraocular Lens”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 32, August 10, 2015; Page: 4760-4770.
Malbran, ES, Malbran, E Jr, and Negri, I. Lens guide suture for transport and fixation of secondary intraocular lens implantation after intracapsular extraction. Int Ophthalmol. 1986; 9: 151–160.
McCluskey P, Harrisberg B. Long-term results using scleral-fixated posterior chamber intraocular lenses. Cataract Refract Surg. 1994; 20: 34–39.
Hahn TW, Kim MS, Kim JH. Secondary intraocular lens implantation in aphakia. J Cataract Refract Surg. 1992; 18: 174-9.
Shapiro A, Leen MM. External transscleral posterior chamber lens fixation. Arch Ophthalmol. 1991; 109: 1759-60.
Bleckmann H, Kaczmarek U. Functional results of posterior chamber lens implantation with scleral fixation. J Cataract Refract Surg. 1994; 20: 321-6.
Agrawal A, Kumar DA, Jacob S, Baid C, Agrawal A, Srinivasan S. Fibrin glue assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refract Surg. 2008; 34: 1433–8.
Haszcz D, Nowomiejska K, Oleszczuk A, et al. Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia. BMC Ophthalmol. 2016; 16 (1): 50.
Agrawal S, Singh V, Gupta SK, Misra N, Srivastava RM. Transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens in aphakic nonvitrectomized eyes. Indian J Ophthalmol. 2015; 63 (8): 649–53.