Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support

Abstract

Our modified technique is safe and effective. We recommend evaluation of longer term results.

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

“…Complications of IOL tilt and dislocation ranged from 2.9% to as high as 23% in sutured SFIOL studies (Helal, 1996;Menezo, 1996;Lanzetta, 1998;Luk, 2013). Surface properties of the positioning holes lead to cutting of the suture, and subsequent subluxation of the sutured PCIOL (Parekh et al, 2007).…”

“…In the present study postoperative ME was seen in 1.6% eyes. Among the sutured SFIOLs, reported incidence of postoperative ME was as high as 42.9% (Helal, 1996;Menezo, 1996;Lanzetta, 1998).…”

Late dislocation of scleral-sutured posterior chamber intraocular lenses

“…6,7,11,16,17,[23][24][25][26][27] Polypropylene is a monofilament polymer composed of propene (CH 2 ZCHCH 3 ) configured as an isotactic crystalline polypropylene stereoisomer. It is used in a variety of healthcare and nonhealthcare related fields.…”

“…1 However, the mean follow-up in most studies was only 1 to 2 years, 1 with maximum follow-up ranging to 6 years in some studies of scleral-sutured PCIOL outcomes. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] The possibility of late polypropylene suture breakage has been a concern with suture-fixated IOLs, 22 but reports of this late complication are rare. 11,[23][24][25] It would be useful for surgeons to have additional information regarding this or other complications that develop at later time points.…”

Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

“…2,6 Visual rehabilitation is generally adequate, with patients retaining the same or slightly improved visual acuity postoperatively as preoperatively. 2,6,14,15 Among the remaining patients, the incidence of persistent CME is as high as 26% [15][16][17][18] ; chronically raised IOP, 7% [17][18][19] ; and retinal detachment (RD), 6%. 14,15,17,20 Surgical manipulation and additional operative time may contribute to these complications.…”