International Journal of Ophthalmology & Visual Science

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Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia

Received: 29 November 2016    Accepted: 16 December 2016    Published: 13 January 2017
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Abstract

Aim: Several techniques of scleral fixated-intraocular lens have been developed. We evaluate visual outcomes and safety of two different techniques of scleral fixated-intraocular lens in the setting of postoperative and post-traumatic aphakia. Methods: This retrospective study included 22 eyes of 22 patients, who had secondary IOL implantation surgery. The data including demographic data, ocular history, indication for surgery, preoperative and postoperative best corrected visual acuity (BCVA), intraocular pressure, detailed anterior and posterior segment evaluation using slit lamp bi-microscopy and indirect ophthalmoscopy were collected. The mean follow-up was 12 months ± 5.2 (SD) (range 12-16 months). Results: Overall, the final BCVA improved in 19 (86%) eyes, did not changed in 2 (9%), and worsened in 1 (4.5%) eye. No significant differences in BCVA were found in two techniques (p<0.2). Conclusion: Both techniques of scleral fixated PCIOL are feasible methods of managing post-traumatic and postoperative aphakia. However, functional outcomes are diverse, especially in post-traumatic cases. Longer follow-up in large population is required. Careful selection of cases and surgical method should be made before operation.

DOI 10.11648/j.ijovs.20160101.14
Published in International Journal of Ophthalmology & Visual Science (Volume 1, Issue 1, November 2016)
Page(s) 25-28
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Aphakia, Intraocular Lens, Scleral Fixation

References
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[2] Por YM, Lavin MJ. Techniques of intraocular lens suspension in the absence of capsular/ zonular support: diagnostic and surgical techniques: Marco zarbin and Chu David. Surv Ophthalmol. 2005; 50 (5): 429–461.
[3] Chang DF. Siepser slipknot for McCannel iris-suture fixation of subluxated intraocular lenses. J Cataract Refract Surg. 2004; 30: 1170–1176.
[4] Teichmann KD. Pars Plana fixation of posterior chamber intraocular lenses. Ophthalmic Surg. 1994; 25: 549–553.
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[6] Osher RH, Cionni RJ. The torn posterior capsule: its intraoperative behavior, surgical management, and long-term consequences. J Cataract Refract Surg. 1990; 16: 490–494.
[7] Shashidhar S, Suresh Babu G, Shruthi Chandra, Manasa Penumetcha. “Primary Versus Secondary Implantation of Scleral Fixated Posterior Chamber Intraocular Lens”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 32, August 10, 2015; Page: 4760-4770.
[8] Malbran, ES, Malbran, E Jr, and Negri, I. Lens guide suture for transport and fixation of secondary intraocular lens implantation after intracapsular extraction. Int Ophthalmol. 1986; 9: 151–160.
[9] McCluskey P, Harrisberg B. Long-term results using scleral-fixated posterior chamber intraocular lenses. Cataract Refract Surg. 1994; 20: 34–39.
[10] Hahn TW, Kim MS, Kim JH. Secondary intraocular lens implantation in aphakia. J Cataract Refract Surg. 1992; 18: 174-9.
[11] Shapiro A, Leen MM. External transscleral posterior chamber lens fixation. Arch Ophthalmol. 1991; 109: 1759-60.
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[14] Haszcz D, Nowomiejska K, Oleszczuk A, et al. Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia. BMC Ophthalmol. 2016; 16 (1): 50.
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Author Information
  • Vitreo-Retina Surgeon, Vasan Eye Care Hospital, Jabalpur, India

  • Consultant Ophthalmologist, Vasan Eye Care Hospital, Jabalpur, India

  • Consultant Ophthalmologist, Vasan Eye Care Hospital, Jabalpur, India

  • Consultant Ophthalmologist, Vasan Eye Care Hospital, Jabalpur, India

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    Rajendra K. Bisen, Sushil Tripathi, Sourabh Soni, Uma Thakur. (2017). Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia. International Journal of Ophthalmology & Visual Science, 1(1), 25-28. https://doi.org/10.11648/j.ijovs.20160101.14

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    Rajendra K. Bisen; Sushil Tripathi; Sourabh Soni; Uma Thakur. Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia. Int. J. Ophthalmol. Vis. Sci. 2017, 1(1), 25-28. doi: 10.11648/j.ijovs.20160101.14

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    AMA Style

    Rajendra K. Bisen, Sushil Tripathi, Sourabh Soni, Uma Thakur. Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia. Int J Ophthalmol Vis Sci. 2017;1(1):25-28. doi: 10.11648/j.ijovs.20160101.14

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  • @article{10.11648/j.ijovs.20160101.14,
      author = {Rajendra K. Bisen and Sushil Tripathi and Sourabh Soni and Uma Thakur},
      title = {Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {1},
      number = {1},
      pages = {25-28},
      doi = {10.11648/j.ijovs.20160101.14},
      url = {https://doi.org/10.11648/j.ijovs.20160101.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijovs.20160101.14},
      abstract = {Aim: Several techniques of scleral fixated-intraocular lens have been developed. We evaluate visual outcomes and safety of two different techniques of scleral fixated-intraocular lens in the setting of postoperative and post-traumatic aphakia. Methods: This retrospective study included 22 eyes of 22 patients, who had secondary IOL implantation surgery. The data including demographic data, ocular history, indication for surgery, preoperative and postoperative best corrected visual acuity (BCVA), intraocular pressure, detailed anterior and posterior segment evaluation using slit lamp bi-microscopy and indirect ophthalmoscopy were collected. The mean follow-up was 12 months ± 5.2 (SD) (range 12-16 months). Results: Overall, the final BCVA improved in 19 (86%) eyes, did not changed in 2 (9%), and worsened in 1 (4.5%) eye. No significant differences in BCVA were found in two techniques (p<0.2). Conclusion: Both techniques of scleral fixated PCIOL are feasible methods of managing post-traumatic and postoperative aphakia. However, functional outcomes are diverse, especially in post-traumatic cases. Longer follow-up in large population is required. Careful selection of cases and surgical method should be made before operation.},
     year = {2017}
    }
    

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    T1  - Visual Outcomes and Safety of Two Different Techniques of Scleral Fixated-Intraocular Lens in the Setting of Postoperative and Post-Traumatic Aphakia
    AU  - Rajendra K. Bisen
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    AB  - Aim: Several techniques of scleral fixated-intraocular lens have been developed. We evaluate visual outcomes and safety of two different techniques of scleral fixated-intraocular lens in the setting of postoperative and post-traumatic aphakia. Methods: This retrospective study included 22 eyes of 22 patients, who had secondary IOL implantation surgery. The data including demographic data, ocular history, indication for surgery, preoperative and postoperative best corrected visual acuity (BCVA), intraocular pressure, detailed anterior and posterior segment evaluation using slit lamp bi-microscopy and indirect ophthalmoscopy were collected. The mean follow-up was 12 months ± 5.2 (SD) (range 12-16 months). Results: Overall, the final BCVA improved in 19 (86%) eyes, did not changed in 2 (9%), and worsened in 1 (4.5%) eye. No significant differences in BCVA were found in two techniques (p<0.2). Conclusion: Both techniques of scleral fixated PCIOL are feasible methods of managing post-traumatic and postoperative aphakia. However, functional outcomes are diverse, especially in post-traumatic cases. Longer follow-up in large population is required. Careful selection of cases and surgical method should be made before operation.
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