Four-point suture scleral fixation of a hydrophilic acrylic IOL in aphakic eyes with insufficient capsule support.
OBJECTIVE
To determine whether suture fixation of a hydrophilic acrylic intraocular lens (IOL) with 4 hollow haptics through a small incision can be an alternative to 2-point fixation of sutured IOLs.


METHODS
Private surgical center, Dallas, Texas, USA.


METHODS
Four-point suture fixation of an Akreos IOL was performed in 1 eye each of 9 patients with aphakia and insufficient capsule support.


RESULTS
Postoperatively, the corrected distance visual acuity and spherical equivalent were improved in all measured eyes. There were no cases of pigment dispersion or cystoid macular edema (CME). Cases of vitreous hemorrhage, ocular hypertension, IOL decentration, and peripheral choroidal effusions resolved without treatment or with intervention in the early postoperative period.


CONCLUSIONS
In this preliminary study, suturing a hydrophilic acrylic IOL with 4 hollow haptics to the sclera had a low risk for CME and pigmentary dispersion glaucoma.
Fass
Oren N
ON
Vision Quest Surgical Center, 5421 La Sierra Drive, Dallas, Texas 75231, USA. orenfass@hotmail.com
Herman
Wesley K
WK
D000180:Acrylic Resins; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000601:surgery*; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
D000180:Acrylic Resins; D011126:Polypropylenes