title: Sulcus implantation of a single-piece foldable acrylic intraocular lens after posterior capsular rupture in cataract surgery.
abstract: OBJECTIVE
  To evaluate the safety of a foldable acrylic single-piece intraocular lens (IOL) in cases of complicated cataract surgery and sulcus implantation. The setting was University and private anterior segment surgery practices.
  
  
  METHODS
  In this observational case series study, 13 eyes of 13 patients were included after complicated phacoemulsification with extensive posterior capsule rupture with or without vitreous loss. A foldable acrylic single-piece IOL (Rayner Superflex 620H; Rayner Intraocular Lenses Limited, Hove, East Sussex, UK) was implanted in the ciliary sulcus in each eye. Postoperative follow-up included best-corrected visual acuity, anterior segment biomicroscopy, IOL centration and position, intraocular pressure, and fundus biomicroscopy. Optical coherence tomography was performed in 2 subjects. Median follow-up time was 12 months (range 1-21 months).
  
  
  RESULTS
  Visual acuity 12 months after surgery was 6/18 and below in 5 eyes (39%), between 6/12 and 6/7.5 in 6 eyes (46%), and 6/6 in 2 eyes (15%). All patients experienced vision improvement. Postoperative complications included corneal edema (2 eyes), Descemet folds (1 eye), intraocular pressure elevations (3 eyes), and pronounced anterior segment inflammation (1 eye). Two eyes had minor pupil contour abnormalities. No significant IOL decentration was observed.
  
  
  CONCLUSIONS
  Sulcus implantation of a foldable acrylic single-piece IOL in eyes with complicated cataract surgery maintains the advantages of easy insertion and small incision. Postoperatively, all IOLs were centered, visual results were good, and complications were manageable and not IOL-related.
authors.affiliation: 1 Department of Ophthalmology, University Medical Center of the Johannes-Gutenberg-University, Mainz - Germany.
authors.forename: Giulia
authors.initials: G
authors.lastname: Renieri
authors.forename: Daniel
authors.initials: D
authors.lastname: Herzog
authors.forename: Stefan
authors.initials: S
authors.lastname: Niemann
authors.forename: Matthias
authors.initials: M
authors.lastname: Becker
authors.forename: Sabine
authors.initials: S
authors.lastname: Kurz
authors.forename: Hagen
authors.initials: H
authors.lastname: Thieme
mesh_terms: D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D057851:Posterior Capsular Rupture, Ocular / Q000209:etiology*; D011183:Postoperative Complications; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000180:Acrylic Resins