Transecleral Suture Fixation for a Posterior Chamber Intraocular Lens Implantation.

Kim, Yong Baek; Min, Woog Ki; Ahn, Byung Heon

Original Article

Journal of the Korean Ophthalmological Society 1990;31(4):445-453.
Published online April 1, 1990.

Transecleral Suture Fixation for a Posterior Chamber Intraocular Lens Implantation.

Yong Baek Kim, Woog Ki Min, Byung Heon Ahn

Department of Ophthalmology, Chungnam National University, Taejeon, Korea.

공막봉합고정에 의한 후방인공수정체삽입술

김용백(Yong Baek Kim),민욱기(Woog Ki Min),안병헌(Byung Heon Ahn)

Abstract

Posterior chamber intraocular lenses were implanted into 20 eyes without the posterior capsular capsular support by securing both haptics of the lens to the sclera with 10-0 prolene suture. The follow-up period ranged from 6 to 24 months(average 9.4 months). At the last follow-up visit, 17 eyes(85%) had a vision of 0.7 or better. The position of the implanted lens was proved satisfactory when compard with eyes with posterior chamber intraocular lens without scleral fixation suture by postoperative A-scan measurement of the anterior chamber depth, the results of refraction and slit-lamp examination. There were no eyes with remarkable decentration or tilt of the implanted lens. In two eyes, intraoperative bleeding occurred from the inferior chamber angle and ceased spontaneously. Postoperatively there were no remarkable inflammatory responses or complications. From the results, we suggest that the position of scleral puncture with a hypodermic needle is 1.2 - 1.4mm from the posterior surgical limbus in the upper quadrant and the advancement of the needle is directing parallel to the posterior surface of the iris.

Key Words: posterior capsule rupture;posterior chamber intraocular lens;transscleral suture