Ciliary sulcus reconstruction for posterior implantation in the absence of an intact posterior capsule.
Secondary implantation of a posterior chamber intraocular lens in an aphakic eye devoid of an intact posterior capsule requires a special surgical approach. When lens capsule remnants remain in the periphery, the ciliary sulcus can be reconstructed to accommodate a posterior chamber lens. The fibrotic lens or capsular residues that often remain adherent to the posterior surface of the iris are divided with sharp intraocular scissors, and a shelf is created that is sufficient to support the lens haptics. A series of 28 cases, including 16 involving young children, demonstrates the feasibility and the favorable visual results obtainable with this surgical technique.
Dahan
E
E
St John Eye Hospital, Johannesburg, South Africa.
Salmenson
B D
BD
Levin
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D001036:Aphakia, Postcataract / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002924:Ciliary Body / Q000601:surgery*; D005069:Evaluation Studies as Topic; D006801:Humans; D007498:Iris / Q000601:surgery; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007908:Lens, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D008722:Methods; D008875:Middle Aged; D011379:Prognosis; D014792:Visual Acuity