Secondary implantation of scleral-fixated intraocular lenses.
OBJECTIVE
To evaluate the results of a large series of secondary implantations using scleral-fixated posterior chamber intraocular lenses (IOLs).


METHODS
Bellevue Eye Hospital, Kiel, Germany.


METHODS
This retrospective review comprised 624 consecutive patients who had secondary implantation of a posterior chamber IOL with scleral fixation between 1988 and 1995. All patients had been aphakic for at least 1 year. An ab interno or ab externo suture technique through the ciliary sulcus was used. Visual outcome and complications 1 year after surgery were determined.


RESULTS
Best corrected visual acuity improved or remained unchanged in 92.0% of eyes; 8.0% lost one or two lines. Intraocular lens decentration of more than 1.5 mm occurred in 1.9% of eyes. Suture erosion was observed in 17.9%, cystoid macular edema in 5.8%, retinal detachment in 1.4%, and vitreous hemorrhage in 1.0%. Severe uveitis occurred in 0.5%.


CONCLUSIONS
Secondary IOL implantation with scleral fixation was a safe procedure. Although there was a small risk of significant complications, more than 90% of patients regained or improved their preoperative visual acuity.
Augenklinik Kiel-Bellevue, Germany.
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D
Uthoff
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KD
Teichmann
D001036:Aphakia, Postcataract / Q000601:surgery*; D002387:Cataract Extraction; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity