Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support
Identifieur interne : 008D34 ( Main/Exploration ); précédent : 008D33; suivant : 008D35Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support
Auteurs : Magdi Helal [Arabie saoudite] ; Fathi El Sayyad [Arabie saoudite] ; Zakaria Elsherif [Arabie saoudite] ; Akef El-Maghraby [Arabie saoudite] ; Mostafa Dabees [Égypte]Source :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1996.
Abstract
Purpose: To evaluate the safety and efficacy of a modified technique of transscleral fixation of posterior chamber intraocular lenses (IOLs) in the management of unilateral aphakia and in cases of IOL exchange.Setting: El-Maghraby Eye Hospital, Jeddah, Saudi Arabia.Methods: This prospective study comprised 41 eyes of 41 patients who had transscleral fixation of a posterior chamber IOL using a modified technique. Of these patients, 36 had unilateral aphakia and 5 had pseudophakia requiring lens exchange. Patient age ranged from 40 to 80 years. Follow-up was 12 months.Results: Uncorrected visual acuity improved in all patients. Best corrected visual acuity was unchanged in 87.8% of patients, improved by two to four Snellen lines in 9.8%, and decreased by one or two Snellen lines in 2.4%. Most complications were minor and managed medically; only two patients required further surgical intervention.Conclusion: Our modified technique is safe and effective. We recommend evaluation of longer term results.
Url:
DOI: 10.1016/S0886-3350(96)80248-3
Affiliations:
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<front><div type="abstract" xml:lang="en">Purpose: To evaluate the safety and efficacy of a modified technique of transscleral fixation of posterior chamber intraocular lenses (IOLs) in the management of unilateral aphakia and in cases of IOL exchange.Setting: El-Maghraby Eye Hospital, Jeddah, Saudi Arabia.Methods: This prospective study comprised 41 eyes of 41 patients who had transscleral fixation of a posterior chamber IOL using a modified technique. Of these patients, 36 had unilateral aphakia and 5 had pseudophakia requiring lens exchange. Patient age ranged from 40 to 80 years. Follow-up was 12 months.Results: Uncorrected visual acuity improved in all patients. Best corrected visual acuity was unchanged in 87.8% of patients, improved by two to four Snellen lines in 9.8%, and decreased by one or two Snellen lines in 2.4%. Most complications were minor and managed medically; only two patients required further surgical intervention.Conclusion: Our modified technique is safe and effective. We recommend evaluation of longer term results.</div>
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