| A Clinical Study on Transscleral Suture Fixation of Posterior Chamber Intraocular Lens. |
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Seung Ik Chang, Kee Young Choi, Byung Joo Yoon |
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Department of Ophthalmology, National Medical Center, Korea. |
| 후방인공수정체 공막봉합고정술에 대한 임상적 고찰 |
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장승익(Seung Ik Chang),최기용(Kee Yong Choi),윤병주(Byung Joo Yoon) |
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| Abstract |
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Posterior chamber intraocular lenses were implanted into 40 eyes with inadequate capsular or zonular support by securing both haptics of the lenses to the sclera at ciliary sulcus with 10-0 prolene sutures. Our follow-up of 36 eyes with scleral fixated posterior chamber intraocular lenses ranged from 2 months to 8 months(average 4.6 months). At the last follow-up visit. 31 eyes(86%) had a vision of 0.5 or better. Mean refractive error was -1.15 +/- 1.13D. which was -0.67 +/- 0.99D more myopic than predicted (p<0.05). Measurement of anterior chamber depth showed deeper than the control group of posterior chamber intraocular lenses without scleral fixation suture(4.18 +/- 0.42mm, 3.96 +/- 0.29mm, respectively), but which was not statistically significant(p>0.05). Additionally, the difference of postoperative axial length between two groups was not statistically significant(23.39 +/- 0.87mm, 23.42 +/- 0.75mm, respectively). In 4 eyes(ll %), minor intraoperative bleeding oceured but was absorbed spontaneously without any sequelae. One eye(3%) of minimal decentration of PCL, one eye(3%) of subluxation of PCL, and one eye(3%) of exposed scleral fixation suture were noted, but no serious postoperative complication, such as corneal edema, glaucoma, persistent uveitis, or retinal detachment was detected. |
| Key Words:
Inadequate Capsular of Zonular Support;Transscleral Suture of Posterior Chamber Intraocular Lens |
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