A Clinical Study on Transscleral Suture Fixation of Posterior Chamber Intraocular Lens.
- Author:
Seung Ik CHANG
1
;
Kee Young CHOI
;
Byung Joo YOON
Author Information
1. Department of Ophthalmology, National Medical Center, Korea.
- Publication Type:Original Article
- Keywords:
Inadequate Capsular of Zonular Support;
Transscleral Suture of Posterior Chamber Intraocular Lens
- MeSH:
Anterior Chamber;
Corneal Edema;
Follow-Up Studies;
Glaucoma;
Hemorrhage;
Lenses, Intraocular*;
Polypropylenes;
Postoperative Complications;
Refractive Errors;
Retinal Detachment;
Sclera;
Sutures*;
Uveitis
- From:Journal of the Korean Ophthalmological Society
1991;32(11):951-957
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Posterior chamber intraocular lenses were implanted into 40 eyes with inadequate capsular or zonular support by securing both haptics of the lenses to the sclera at ciliary sulcus with 10-0 prolene sutures. Our follow-up of 36 eyes with scleral fixated posterior chamber intraocular lenses ranged from 2 months to 8 months(average 4.6 months). At the last follow-up visit. 31 eyes(86%) had a vision of 0.5 or better. Mean refractive error was -1.15 +/- 1.13D. which was -0.67 +/- 0.99D more myopic than predicted (p<0.05). Measurement of anterior chamber depth showed deeper than the control group of posterior chamber intraocular lenses without scleral fixation suture(4.18 +/- 0.42mm, 3.96 +/- 0.29mm, respectively), but which was not statistically significant(p>0.05). Additionally, the difference of postoperative axial length between two groups was not statistically significant(23.39 +/- 0.87mm, 23.42 +/- 0.75mm, respectively). In 4 eyes(ll %), minor intraoperative bleeding oceured but was absorbed spontaneously without any sequelae. One eye(3%) of minimal decentration of PCL, one eye(3%) of subluxation of PCL, and one eye(3%) of exposed scleral fixation suture were noted, but no serious postoperative complication, such as corneal edema, glaucoma, persistent uveitis, or retinal detachment was detected.
