title: Visual acuity after trans-scleral sutured posterior chamber intraocular lens.
abstract: OBJECTIVE
  To determine the changes in visual acuity in patients undergoing Trans-Scleral Sutured Posterior Chamber Intra-Ocular Lens (TSSPCIOL) implantation at a tertiary care hospital in Karachi, Pakistan.
  
  
  METHODS
  Case series.
  
  
  METHODS
  LRBT Tertiary Eye Hospital, Karachi, from January 2006 to December 2010.
  
  
  METHODS
  Records of all patients undergoing implantation of TSSPCIOL were reviewed. Patients with diagnosed glaucoma, diabetic retinopathy, macular degeneration, history of recurrent uveitis, corneal haze or central corneal scars were excluded. For the final analysis, 70 eyes out of a total of 75 were selected. Main outcomes of interest were pre and postoperative visual acuities and surgical complications. SPSS 21 was used for data analysis.
  
  
  RESULTS
  Pre-operatively, the average Best Spectacle-Corrected Visual Acuity (BSCVA) was 6/36 on the Snellen chart. This improved to 6/12 postoperatively. The mean improvement seen was 2.4 lines on the Snellen chart (p < 0.05). Complications include transient intraocular pressure elevation in 25 eyes (36%), IOL tilt in 4 eyes (7.1%), Cystoid Macular Edema (CME) in 4 eyes (5.7%), vitreous haemorrhage in 2 eyes (2.9%), hyphema in 2 eyes (2.9%), uveitis in 1 eye (1.4%), and retinal detachment 1 eye (1.4%). No IOL subluxation, suture erosion, iris capture, choroidal effusion or endophthalmitis was encountered and no re-operations were needed.
  
  
  CONCLUSIONS
  TSSPCIOLs are a good management option for patients with aphakia in whom PC IOLs cannot be placed.
authors.affiliation: Department of Ophthalmology, LRBT Free Base Eye Hospital, Karachi.
authors.forename: Syed Asaad
authors.initials: SA
authors.lastname: Mahmood
authors.affiliation: Department of Ophthalmology, LRBT Free Base Eye Hospital, Karachi.
authors.forename: Shakir
authors.initials: S
authors.lastname: Zafar
authors.affiliation: Department of Ophthalmology, LRBT Free Base Eye Hospital, Karachi.
authors.forename: Munira
authors.initials: M
authors.lastname: Shakir
authors.affiliation: Department of Ophthalmology, LRBT Free Base Eye Hospital, Karachi.
authors.forename: Syed Fawad
authors.initials: SF
authors.lastname: Rizvi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001035:Aphakia / Q000601:surgery; D002648:Child; D004479:Ectopia Lentis / Q000601:surgery; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013537:Sutures; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*; D055815:Young Adult