[Posterior chamber implants with scleral fixation in patients with lens subluxation or luxation].
OBJECTIVE
To present the operative technique and results of scleral fixation posterior chamber IOL implantations in eyes with lens dislocation.


METHODS
Pars plana vitrectomy technique was combined with the outside-in method for scleral fixation of PC IOL. Forty eyes of 36 patients were operated on between December 1994 and December 1996. Time of observation ranged from 1 to 24 months (mean 10.3 months).


RESULTS
The best corrected postoperative visual acuity was between 6/6 and 6/8 in 32 eyes, between 6/12 and 6/18 in 5, and between 6/24 and 1/60 in 3 eyes. Preoperative ocular hypertension was normalized in all 9 cases, although topical glaucoma therapy was necessary in 5 eyes. In one myopic patient retinal detachment occurred postoperatively. We observed one case of IOL decentration. No other severe complications were found.


CONCLUSIONS
Pars plana vitrectomy for the dislocated lens removal may be combined with simultaneous scleral fixation IOL implantation. The procedure is safe and gives good visual rehabilitation.
Omulecki
W
W
Katedry i Kliniki Chorób Oczu AM w Lodzi.
Nawrocki
J
J
Sempińska-Szewczyk
J
J
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000379:methods*; D007906:Lens Subluxation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods