Scleral fixation for a phakic anterior chamber disc intraocular lens.
BACKGROUND
Angle-supported phakic anterior chamber intraocular lenses (IOLs) require a high degree of anterior vaulting, but this can cause an inadequate distance between the IOL and the cornea, especially during rubbing or squeezing of the eye.


METHODS
A vaultless implant was designed by anchoring 3 supple hepatics through the anterior chamber into the sclera. Thus, a suspended rather than a wedged implant was achieved.


RESULTS
The lens was implanted in 3 eyes of 2 patients in 1990. Good tolerance of the IOL was maintained over 7 years of follow-up.


CONCLUSIONS
A suspended anterior chamber phakic IOL maintains an adequate position with lack of bowing and shows promising results.
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D000293:Adolescent; D000328:Adult; D000867:Anterior Chamber / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000295:instrumentation*; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000601:surgery*; D011474:Prosthesis Design; D012029:Refraction, Ocular; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques