title: Transscleral fixation of a foldable posterior chamber intraocular lens.
abstract: We describe an approach to transscleral fixation of a foldable posterior chamber intraocular lens (PC IOL) using a 25-gauge pars plana vitrectomy. The technique was used in 80 consecutive eyes, and the results were analyzed for corrected distance visual acuity and safety indicators. Postoperative complications included retinal detachment in 2 eyes (2.5%), Irvine-Gass cystoid macular edema in 3 eyes (3.75%), persistent postoperative corneal edema in 1 eye (1.25%), hyphema in 2 eyes (2.5%), and postoperative vitreous hemorrhage with spontaneous clearing in 1 eye (1.25%). The modified external approach with a 25-gauge pars plana vitrectomy had relatively few complications, improved visual acuity in patients requiring a transsclerally sutured PC IOL, and offered several advantages over traditional anterior chamber and conventional techniques of scleral suturing.
  
  
  BACKGROUND
  Dr. Adelberg is a consultant to Bausch & Lomb. No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: University of Arizona College of Medicine-Phoenix (Wallmann), Phoenix, and the Southwestern Eye Center (Monson, Adelberg), Mesa, Arizona, USA.
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Wallmann
authors.affiliation: University of Arizona College of Medicine-Phoenix (Wallmann), Phoenix, and the Southwestern Eye Center (Monson, Adelberg), Mesa, Arizona, USA.
authors.forename: Bryan K
authors.initials: BK
authors.lastname: Monson
authors.affiliation: University of Arizona College of Medicine-Phoenix (Wallmann), Phoenix, and the Southwestern Eye Center (Monson, Adelberg), Mesa, Arizona, USA. Electronic address: adelberg@sweye.com.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Adelberg
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult