M. Helal et al., TRANSSCLERAL FIXATION OF POSTERIOR CHAMBER INTRAOCULAR LENSES IN THE ABSENCE OF CAPSULAR SUPPORT, Journal of cataract and refractive surgery, 22(3), 1996, pp. 347-351
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.