Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support.
OBJECTIVE
To evaluate the safety and efficacy of a modified technique of transscleral fixation of posterior chamber intraocular lenses (IOLs) in the management of unilateral aphakia and in cases of IOL exchange.


METHODS
El-Maghraby Eye Hospital, Jeddah, Saudi Arabia.


METHODS
This prospective study comprised 41 eyes of 41 patients who had transscleral fixation of a posterior chamber IOL using a modified technique. Of these patients, 36 had unilateral aphakia and 5 had pseudophakia requiring lens exchange. Patient age ranged from 40 to 80 years. Follow-up was 12 months.


RESULTS
Uncorrected visual acuity improved in all patients. Best corrected visual acuity was unchanged in 87.8% of patients, improved by two to four Snellen lines in 9.8%, and decreased by one or two Snellen lines in 2.4%. Most complications were minor and managed medically; only two patients required further surgical intervention.


CONCLUSIONS
Our modified technique is safe and effective. We recommend evaluation of longer term results.
Helal
M
M
El-Maghraby Eye Center, Jeddah, Saudi Arabia.
el Sayyad
F
F
Elsherif
Z
Z
el-Maghraby
A
A
Dabees
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D011446:Prospective Studies; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity