title: Sulcus implantation of a 3-piece, 6.0 mm optic, hydrophobic foldable acrylic intraocular lens in phacoemulsification complicated by posterior capsule rupture.
abstract: To evaluate the safety of implanting a 3-piece, 6.0 mm optic, foldable acrylic intraocular lens (IOL) in cases of posterior capsule rupture during phacoemulsification. Department of Ophthalmology, Ahepa Hospital, Aristotle University Medical School, and Interbalkan Medical Center, Thessaloniki, Greece. This prospective noncomparative case series included 28 eyes (28 patients) having phacoemulsification complicated by extensive posterior capsule rupture with or without vitreous loss. In all eyes, a 3-piece, 6.0 mm optic, foldable acrylic IOL (AcrySof MA60BM, Alcon) was implanted in the sulcus. Postoperative examination included best corrected visual acuity (BCVA), anterior segment biomicroscopy, IOL centralization and position, intraocular pressure (IOP), and fundus biomicroscopy. The follow-up was 6 months. The most common postoperative complications were transient corneal edema in 12 eyes and increased IOP in 11 eyes. Slight asymptomatic decentralization from the center of the pupil (1.0 to 2.0 mm) and pseudophacodonesis were observed in 5 eyes each. Friction of the IOL with the iris occurred in 1 eye. Clinically significant cystoid macular edema occurred in 3 eyes. The final BCVA was between 20/15 and 20/25 in 18 patients, 20/30 in 2, between 20/40 and 20/50 in 4, and between 20/60 and 20/200 in 4. AcrySof IOL implantation in the sulcus during phacoemulsification complicated by posterior capsule rupture preserved the advantages of small-incision surgery. The postoperative behavior and centralization of the IOLs resembled those of poly(methyl methacrylate) lenses.
authors.affiliation: Department of Ophthalmology, Ahepa Hospital, Aristotle University Medical School and Interbalkan Medical Center, Thessaloniki, Greece. pbrazitikos@hotmail.com
authors.forename: Periklis D
authors.initials: PD
authors.lastname: Brazitikos
authors.forename: Miltiadis O
authors.initials: MO
authors.lastname: Balidis
authors.forename: Paris
authors.initials: P
authors.lastname: Tranos
authors.forename: Sofia
authors.initials: S
authors.lastname: Androudi
authors.forename: Nick T
authors.initials: NT
authors.lastname: Papadopoulos
authors.forename: Ioannis T
authors.initials: IT
authors.lastname: Tsinopoulos
authors.forename: Vasilios
authors.initials: V
authors.lastname: Karabatakis
authors.forename: Nikolaos T
authors.initials: NT
authors.lastname: Stangos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015715:Corneal Edema / Q000209:etiology; D004867:Equipment Design; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects; D008269:Macular Edema / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000209:etiology; D018918:Phacoemulsification / Q000009:adverse effects*; D011446:Prospective Studies; D012421:Rupture; D014792:Visual Acuity