title: Short-term Clinical Outcomes after Transscleral Fixation Using the Intrascleral Pocket Technique: A Retrospective Cohort Study Analysis.
abstract: OBJECTIVE
  To compare the two transscleral fixation (TSF) techniques of intrascleral pocket and conventional scleral flap with conjunctival division techniques in terms of short-term clinical effects.
  
  
  METHODS
  This retrospective cohort study included all consecutive patients with aphakia in Gyeongsang National University Hospital in Jinju, Korea, who underwent TSF between January 2012 and December 2014. The medical records of all patients were retrospectively reviewed, and the endothelial cell count (ECC), refraction, best-corrected visual acuity (BCVA), intraocular pressure, slit lamp, and fundus examination results before and 1 day and 6 months after surgery were recorded. The postoperative complications and visual outcomes were also recorded.
  
  
  RESULTS
  The intrascleral pocket and conventional-flap groups did not differ significantly in terms of demographics, presurgical BCVA, or ECC. However, the intrascleral pocket group had a significantly lower BCVA at 1 day and 6 months after surgery compared to the conventional-flap group. The two groups did not differ in terms of ECC 6 months after surgery. The intrascleral pocket group had no postoperative complications, but five patients in the conventional-flap group complained of irritation. In both groups, the intraocular lens was well positioned without tilting or subluxation, and astigmatism was significantly reduced at 1 day and 6 months after surgery.
  
  
  CONCLUSIONS
  The intrascleral pocket technique of TSF does not involve conjunctival dissection and is a successful method of sulcus fixation. It stably corrects the intraocular lens and is easy to perform, which helps to reduce operation time. It also reliably yields rapid visual acuity recovery without complications.
authors.affiliation: Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
authors.forename: Yong-Wun
authors.initials: YW
authors.lastname: Cho
authors.affiliation: Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
authors.forename: Woong-Sun
authors.initials: WS
authors.lastname: Yoo
authors.affiliation: Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
authors.forename: Inyoung
authors.initials: I
authors.lastname: Chung
authors.affiliation: Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
authors.forename: Seong-Wook
authors.initials: SW
authors.lastname: Seo
authors.affiliation: Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
authors.forename: Ji-Myong
authors.initials: JM
authors.lastname: Yoo
authors.affiliation: Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.; Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
authors.forename: Seong-Jae
authors.initials: SJ
authors.lastname: Kim
mesh_terms: D002452:Cell Count; D015331:Cohort Studies; D004728:Endothelium, Corneal; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D019591:Pseudophakia / Q000503:physiopathology; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
keywords: Aphakia; Intrascleral pocket technique; Transscleral fixation