Scleral Fixation of Foldable Posterior Chamber Intraocular Lenses.
- Author:
Jung Il HAN
1
;
Sun Young SHIN
;
Byung Joo SONG
Author Information
1. Department of Ophthalmology, College of Medicine, Hanyang University Hospital, Korea. song@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Foldable intraocular lens;
Small incision;
Transscleral fixation
- MeSH:
Astigmatism;
Hemorrhage;
Humans;
Intraocular Pressure;
Lenses, Intraocular*;
Medical Records;
Postoperative Complications;
Refractive Errors;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2002;43(10):1887-1891
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the surgical result and complications of scleral fixation of foldable intraocular lenses. METHODS: We reviewed the medical records of 17 patients who had undergone scleral fixation of acrylic three-piece foldable intraocular lens. RESULTS: Uncorrected visual acuity were improved in all eyes with time. Postoperative best corrected visual acuity were better than preoperative best corrected visual acuity in 14 eyes from 1.18+/-0.84 to 0.26 +/-0.25 in logMAR visual acuity. Estimated refractive error were 0.01+/-0.34 diopter in spherical equivalent preoperatively and .0.59+/-1.00 diopter postoperatively (p=0.02, paired t-test). The corneal astigmatic changes (dK) of mild against-the-rule astigmatism decreased as time passed. There was no intraoperative bleeding. There were postoperative complications such as increased intraocular pressure in 2 eyes, corneal epithelial defect in 1 eye. CONCLUSIONS: In cases of scleral fixation, by using acrylic foldable intraocular lens through small incision, we were able to reduce corneal astigmatism and complications due to large incision and therefore, improve visual acuity instantly.
