Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture.
OBJECTIVE
To investigate the postoperative problems of intraocular lenses (IOLs) with transscleral sulcus suture.


METHODS
Retrospective observational case series.


METHODS
Forty-one subjects (43 eyes) were included.


METHODS
All eyes had undergone transscleral sulcus suture of IOLs. Surgeries were all performed by surgeons in our clinic using the same technique.


METHODS
Ultrasound biomicroscopy of the suture sites, their surrounding structures, and central anterior chamber depth. Other parameters studied included visual acuity, aqueous flare, and routine ophthalmic examinations.


RESULTS
Thirty-two of 86 haptics were sutured at the ciliary sulcus (CS) region and 29 at the ciliary process region, which was the space between CS and pars plicata, and 25 posterior to pars plicata. We designated the cases with at least one haptic located in the CS region as the anterior group, and the other cases as the posterior group. In the anterior group, anterior chamber depth was significantly more shallow than in the fellow eye in which IOLs were fixed in the bag (P = 0.049). There was a statistically greater incidence of IOL iris contact in the anterior group than in the posterior group (P = 0.00057). Pigment dispersion was seen in seven cases, all of which were classified as anterior group. Eyes in the posterior group had more aqueous flare than their fellow eyes (P = 0.014). Two cases, in which more than two lines of postoperative best-corrected visual acuity was lost because of macular degeneration after cystoid macular edema, showed marked elevation of aqueous flare in the sutured eyes compared with their fellow eyes. Forty-one of 86 haptics had vitreous incarceration.


CONCLUSIONS
This technique has many limitations: the difficulty of suturing precisely at the ciliary sulcus, IOL iris contact, pigment dispersion, high aqueous flare, and vitreous incarceration. These induce two major postoperative complications: chronic inflammation and influence on the adjacent vitreous such as vitreous incarceration. The suturing technique and instruments need to be improved to diminish such complications.
Manabe
S
S
Department of Ophthalmology, Tenri Yorozu Hospital, Nara, Japan.
Oh
H
H
Amino
K
K
Hata
N
N
Yamakawa
R
R
D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D001082:Aqueous Humor / Q000166:cytology; D002924:Ciliary Body / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods; D007910:Lenses, Intraocular; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000000981:diagnostic imaging* / Q000601:surgery; D013536:Suture Techniques; D014463:Ultrasonography; D014792:Visual Acuity