Scleral Fixation of Foldable Posterior Chamber Intraocular Lenses.

Han, Jung Il; Shin, Sun Young; Song, Byung Joo

Original Article

Journal of the Korean Ophthalmological Society 2002;43(10):1887-1891.
Published online October 1, 2002.

Scleral Fixation of Foldable Posterior Chamber Intraocular Lenses.

Jung Il Han, Sun Young Shin, Byung Joo Song

Department of Ophthalmology, College of Medicine, Hanyang University Hospital, Korea. song@hanyang.ac.kr

공막봉합을 통한 접형인공수정체 고정술

한정일 ( Jung Il Han ) , 신선영 ( Sun Young Shin ) , 송병주 ( Byung Joo Song )

Abstract

PURPOSE
To evaluate the surgical result and complications of scleral fixation of foldable intraocular lenses. METHODS: We reviewed the medical records of 17 patients who had undergone scleral fixation of acrylic three-piece foldable intraocular lens. RESULTS: Uncorrected visual acuity were improved in all eyes with time. Postoperative best corrected visual acuity were better than preoperative best corrected visual acuity in 14 eyes from 1.18+/-0.84 to 0.26 +/-0.25 in logMAR visual acuity. Estimated refractive error were 0.01+/-0.34 diopter in spherical equivalent preoperatively and .0.59+/-1.00 diopter postoperatively (p=0.02, paired t-test). The corneal astigmatic changes (dK) of mild against-the-rule astigmatism decreased as time passed. There was no intraoperative bleeding. There were postoperative complications such as increased intraocular pressure in 2 eyes, corneal epithelial defect in 1 eye. CONCLUSIONS: In cases of scleral fixation, by using acrylic foldable intraocular lens through small incision, we were able to reduce corneal astigmatism and complications due to large incision and therefore, improve visual acuity instantly.

Key Words: Foldable intraocular lens;Small incision;Transscleral fixation