[The state of anterior eye segment after posterior chamber intraocular lens implantation with transscleral fixation].
OBJECTIVE
The aim of the study was to evaluate the state of anterior eye segment in postoperative period after PC-IOL transscleral fixation.


METHODS
The material comprised 31 eyes in 31 patients, (11 women and 20 men), aged 20-80 years (average 61 years), who underwent the primary or secondary PC-IOL implantation with transscleral fixation. The examination was performed 10 to 14 months (average 12 months) after surgery. The clinical state of the corneas was evaluated using endothelial and confocal microscopy. The position of the IOL, its location and symmetry were evaluated with ultrasound biomicroscopy.


RESULTS
The visual acuity ranged from 0.1 to 1.0. In 20 eyes (64%) the position of PC-IOL was correct. In the rest of cases the inappropriate position of implants was observed. The decrease of endothelial cells density was 13% in eyes with primary implantation and 7% in cases with secondary implantation of IOL. In the corneal endothelium, there were features of pleomorfism and polymegatism; in a few cases some deposits were observed.


CONCLUSIONS
The implantation of posterior chamber intraocular lenses with transscleral fixation is recommended for some cases of primary or secondary problems with capsule support. The PC-IOL implantation with transscleral fixation can be the alternative method for the anterior IOL implantation.
Formińska-Kapuścik
M
M
I Katedry i Kliniki Okulistyki Slaskiej AM w Katowicach.
Gierek-Ciaciura
S
S
Kamińska-Olechnowicz
B
B
Błazejewska-Meller
G
G
Filipecka
I
I
Rokita-Wala
I
I
Piatek-Koronowska
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000601:surgery*; D002387:Cataract Extraction / Q000009:adverse effects; D004728:Endothelium, Corneal / Q000473:pathology*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D018613:Microscopy, Confocal; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology*; D012590:Sclera / Q000601:surgery*; D013997:Time Factors; D016707:Tissue Fixation; D014792:Visual Acuity