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One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps

Identifieur interne : 002198 ( Ncbi/Curation ); précédent : 002197; suivant : 002199

One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps

Auteurs : Ashraf I. Moawad [Égypte] ; Asaad A. Ghanem [Égypte]

Source :

RBID : PMC:3420135

Abstract

Purpose. To assess visual results and complications of a modified technique of posterior chamber intraocular lenses (PC IOLs) in aphakic eyes without scleral flaps. Methods. Modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule support. Follow-up period was six months. Outcome measures included best-corrected visual acuity, intraocular pressure (IOP), and postoperative complications. Results. The study included 15 males and 10 females. The preoperative best-corrected visual acuity (BCVA) ranged from 5/60 to 6/9. The operation time ranged from 25 to 45 minutes (mean 35.25 ± 5.34 min). Anterior vitrectomy was performed in 12 cases (48%). There was no major IOL decentration. The final BCVA ranged from 6/36 to 6/9. Seven cases (28%) showed postoperative glaucoma, five cases (20%) had temporary hypotony, and hyphema in 2 eyes (8%). No cases of suture erosion, postoperative endophthalmitis, retinal detachment, or IOL dislocation were detected. Conclusion. This technique of one-haptic scleral fixation of posterior chamber IOLs is a good choice in presence of insufficient capsule support. It reduces the operation time, achieves the IOL stability, and minimizes postoperative suture-related complications.


Url:
DOI: 10.1155/2012/891839
PubMed: 22919463
PubMed Central: 3420135

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<name sortKey="Moawad, Ashraf I" sort="Moawad, Ashraf I" uniqKey="Moawad A" first="Ashraf I." last="Moawad">Ashraf I. Moawad</name>
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<nlm:aff id="I1">Ophthalmic Center, Faculty of Medicine, Mansoura University, P.O. Box 35516, Mansoura, Egypt</nlm:aff>
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<name sortKey="Ghanem, Asaad A" sort="Ghanem, Asaad A" uniqKey="Ghanem A" first="Asaad A." last="Ghanem">Asaad A. Ghanem</name>
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<italic>Purpose</italic>
. To assess visual results and complications of a modified technique of posterior chamber intraocular lenses (PC IOLs) in aphakic eyes without scleral flaps.
<italic>Methods</italic>
. Modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule support. Follow-up period was six months. Outcome measures included best-corrected visual acuity, intraocular pressure (IOP), and postoperative complications.
<italic>Results</italic>
. The study included 15 males and 10 females. The preoperative best-corrected visual acuity (BCVA) ranged from 5/60 to 6/9. The operation time ranged from 25 to 45 minutes (mean 35.25 ± 5.34 min). Anterior vitrectomy was performed in 12 cases (48%). There was no major IOL decentration. The final BCVA ranged from 6/36 to 6/9. Seven cases (28%) showed postoperative glaucoma, five cases (20%) had temporary hypotony, and hyphema in 2 eyes (8%). No cases of suture erosion, postoperative endophthalmitis, retinal detachment, or IOL dislocation were detected.
<italic>Conclusion</italic>
. This technique of one-haptic scleral fixation of posterior chamber IOLs is a good choice in presence of insufficient capsule support. It reduces the operation time, achieves the IOL stability, and minimizes postoperative suture-related complications.</p>
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