title: Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia.
abstract: BACKGROUND
  Several techniques for fixation of the posterior chamber intraocular lens (IOL) have been developed. We evaluate long-term functional outcomes and safety of posterior chamber IOL implantation using Hoffman scleral haptic fixation and sutureless Sharioth technique in patients with posttraumatic and postoperative aphakia.
  
  
  METHODS
  This retrospective case-series included 42 eyes operated by one surgeon. The data including demographic data, ocular history, preoperative, early postoperative and final best corrected visual acuity (BCVA), rate of complications as well as postoperative IOL position were collected. The mean follow-up was 14.5 months. Hoffman haptic scleral fixation was performed in 31 eyes, Sharioth technique-in 11 eyes. Aphakia was due to eye trauma (19) or complicated cataract surgery (23).
  
  
  RESULTS
  Overall, the final BCVA improved in 26 eyes, did not change in 5 eyes, and worsened in 11 eyes. No significant differences in BCVA were found between groups operated with Hoffman scleral fixation and Sharioth technique. Postoperatively, we noticed two dislocations of IOL fixated using Sharioth technique and none after Hoffman technique. No severe complications were observed.
  
  
  CONCLUSIONS
  Both transscleral fixation techniques are feasible methods of secondary IOL implantation in posttraumatic and postoperative aphakia. with low incidence of complications, however visual outcomes are diverse.
authors.affiliation: Department of General Ophthalmology, Medical University, Lublin, Poland.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Haszcz
authors.affiliation: Department of General Ophthalmology, Medical University, Lublin, Poland. katarzynanowomiejska@mailcity.com.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Nowomiejska
authors.affiliation: Department of General Ophthalmology, Medical University, Lublin, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Oleszczuk
authors.affiliation: Domus Nova Hospital, Ravenna, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Forlini
authors.affiliation: Institute of Ophthalmology, University of Parma, Parma, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Forlini
authors.affiliation: Department of General Ophthalmology, Medical University, Lublin, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Moneta-Wielgos
authors.affiliation: Human Anatomy Department, Medical University in Lublin, Lublin, Poland.
authors.forename: Ryszard
authors.initials: R
authors.lastname: Maciejewski
authors.affiliation: Gibinski University Clinical Centre, Medical University of Silesia, Katowice, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Michalska-Malecka
authors.affiliation: Department of Ophthalmology, University of Rostock, Rostock, Germany.
authors.forename: Anselm G
authors.initials: AG
authors.lastname: Jünemann
authors.affiliation: Department of General Ophthalmology, Medical University, Lublin, Poland.|Department of Experimental Pharmacology, Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Rejdak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001035:Aphakia / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity; D055815:Young Adult
keywords: Aphakia; Scleral fixation; Secondary intraocular lens implantation