Ultrasound biomicroscopy of haptic position after transscleral fixation of posterior chamber intraocular lenses.
OBJECTIVE
To determine the haptic position of ab externo transsclerally fixated posterior chamber intraocular lenses (PC IOLs) by ultrasound biomicroscopy (UBM).


METHODS
Mansoura Ophthalmic Center, Mansoura University, Mansoura, Egypt.


METHODS
Ultrasound biomicroscopy was used to determine the haptic position in relation to the ciliary sulcus, iris, and ciliary body in 20 patients with transsclerally fixated PC IOLs. The patients ranged in age from 10 to 65 years.


RESULTS
All IOL haptics were easily visualized and imaged by UBM. Of the 40 IOL haptics, 22 (55.0%) were located in the sulcus, 11 (27.5%) anterior to the sulcus, and 7 (17.5%) posterior to the sulcus region.


CONCLUSIONS
Ab externo scleral fixation of PC IOLs is a blind procedure in most cases. Ultrasound biomicroscopy showed the difficulty in reliably placing the haptics in the ciliary sulcus using this technique. Thus, endoscopic visualization of the iridociliary angle during surgery is recommended.
Sewelam
A
A
Mansoura Ophthalmic Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ismail
A M
AM
El Serogy
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002924:Ciliary Body / Q000000981:diagnostic imaging*; D003941:Diagnostic Techniques, Ophthalmological; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods; D007910:Lenses, Intraocular; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D012590:Sclera / Q000000981:diagnostic imaging / Q000601:surgery*; D013536:Suture Techniques; D014463:Ultrasonography