COMPLICATIONS FOLLOWING 2 METHODS OF POSTERIOR CHAMBER INTRAOCULAR-LENS SUTURING

The aim of this study is to compare complication rates in two differen t operative techniques applied for the secondary, posterior chamber in traocular lens (PCIOL) implantation with sulcus fixation. 179 eyes wit h partial or no posterior capsule support underwent surgery. Applied t echniques were: transscleral fixation of the IOL by passing with the f ixation needle through the sulcus from the inside (70 eyes) or from th e outside (109 eyes) of the bulbus. The most frequent intraoperative c omplications were haemorrhages and vitreous prolaps with no significan t difference between used techniques. In the 'from the inside' group, following late postoperative complications developed: astigmatism of > 4D (24%), cystoid macular oedema (20%), pupil distortion (14%), partia l posterior capsule opacification (10%), suture exposure (10%), IOL de centration (8%) and hemophthalmus (3%). In the 'from the outside' grou p same complications showed a decreased rate: 17%, 16%, 8%, 8%, 9%, 5% and 1%, respectively. Other late complications like high intraocular pressure, synechiae and uveitis were adequately represented in both te chniques. After 24 months follow-up, best corrected visual acuity grea ter than or equal to 0.8 was achieved in 48.5% of eyes when 'from the inside' and in 57.7% of eyes when 'from the outside' technique was use d.