Transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens in aphakic nonvitrectomized eyes
Identifieur interne : 000430 ( Main/Merge ); précédent : 000429; suivant : 000431Transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens in aphakic nonvitrectomized eyes
Auteurs : Siddharth Agrawal [Inde] ; Vinita Singh [Inde] ; Sanjiv Kumar Gupta [Inde] ; Nibha Misra [Inde] ; Rajat M. Srivastava [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2015.
Abstract
To evaluate the outcome of transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens (PCIOL) in aphakia in nonvitrectomized eyes.
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.
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 (
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.
Url:
DOI: 10.4103/0301-4738.169797
PubMed: 26576522
PubMed Central: 4687191
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens in aphakic nonvitrectomized eyes</title><author><name sortKey="Agrawal, Siddharth" sort="Agrawal, Siddharth" uniqKey="Agrawal S" first="Siddharth" last="Agrawal">Siddharth Agrawal</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Singh, Vinita" sort="Singh, Vinita" uniqKey="Singh V" first="Vinita" last="Singh">Vinita Singh</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Gupta, Sanjiv Kumar" sort="Gupta, Sanjiv Kumar" uniqKey="Gupta S" first="Sanjiv Kumar" last="Gupta">Sanjiv Kumar Gupta</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Misra, Nibha" sort="Misra, Nibha" uniqKey="Misra N" first="Nibha" last="Misra">Nibha Misra</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Srivastava, Rajat M" sort="Srivastava, Rajat M" uniqKey="Srivastava R" first="Rajat M" last="Srivastava">Rajat M. 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Srivastava</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title><p>To evaluate the outcome of transscleral fixation of closed loop haptic acrylic posterior chamber intraocular lens (PCIOL) in aphakia in nonvitrectomized eyes.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>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.</p></sec><sec id="st3"><title>Results:</title><p>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 (<italic>P</italic> < 0.0001) was observed after the procedure. Mean duration of follow-up was 26.2 months (range 22–35 months).</p></sec><sec id="st4"><title>Conclusion:</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Le Quoy, O" uniqKey="Le Quoy O">O Le Quoy</name></author><author><name sortKey="Papaefthymiou, Y" uniqKey="Papaefthymiou Y">Y Papaefthymiou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, Js" uniqKey="Lewis J">JS Lewis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Young, Al" uniqKey="Young A">AL Young</name></author><author><name sortKey="Leung, Gy" uniqKey="Leung G">GY Leung</name></author><author><name sortKey="Cheng, Ll" uniqKey="Cheng L">LL Cheng</name></author><author><name sortKey="Lam, Ds" 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