Phacoemulsification using iris hooks and scleral fixation of the intraocular lens in patients with secondary glaucoma associated with lens subluxation.
OBJECTIVE
We described the techniques and results of phacoemulsification using iris hook and scleral fixation of intraocular lens (IOL) in patients with secondary glaucoma associated with lens subluxation.


METHODS
Eight eyes of seven patients with secondary glaucoma associated with lens dislocation, who had undergone the surgery, were retrospectively reviewed.


RESULTS
At a mean of 23.5 months+/-13.6 (SD) after the surgery, the mean best-corrected visual acuity improved from 0.24+/-0.21 to 0.83+/-0.3, and mean intraocular pressure (IOP) was changed from 38.4+/-11.4 to 15.5+/-1.8 mmHg at the final examination. There were no vitreoretinal complications except cystoid macular oedema in one eye.


CONCLUSIONS
The technique appears to be safe and effective in terms of visual rehabilitation and controlling IOP in patients with secondary glaucoma associated with lens subluxation.
Ma
K T
KT
Siloam Eye Hospital, Seoul, Korea.
Lee
H K
HK
Seong
G J
GJ
Kim
C Y
CY
D000328:Adult; D000368:Aged; D005260:Female; D005901:Glaucoma / Q000150:complications* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007498:Iris / Q000601:surgery*; D007906:Lens Subluxation / Q000150:complications / Q000601:surgery*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013525:Surgical Instruments; D014792:Visual Acuity / Q000502:physiology