TRANSSCLERAL FIXATION OF POSTERIOR CHAMBER INTRAOCULAR LENSES IN THE ABSENCE OF CAPSULAR SUPPORT

Purpose: To evaluate the safety and efficacy of a modified technique o f 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: Thi s prospective study comprised 41 eyes of 41 patients who had transscle ral fixation of a posterior chamber IOL using a modified technique. Of these patients, 36 had unilateral aphakia and 5 had pseudophakia requ iring lens exchange. Patient age ranged from 40 to 80 years. Follow-up was 12 months. Results: Uncorrected visual acuity improved in all pat ients. 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 manage d medically; only two patients required further surgical intervention. Conclusion: Our modified technique is safe and effective. We recommen d evaluation of longer term results.