Results and complications of scleral fixated (Sutured) posterior chamber intraocular lens implantation

Abstract

Optical rehabilitation of the patient with aphakia who cannot tolerate contact lenses present a therapeutic challenge. In the absence of capsular support, anterior chamber lenses have been widely used. On the other hand intraocular lens implantation of scleral sutured posterior chamber intraocular lens during penterating keratoplasty or insufficient iris support is recommended. The purpose of this study is to evaluate the clinical outcome and complication in 17 patients who underwent scleral-fixation of an intraocular lens.We studied prospectively the results of posterior chamber intraocular lens implantation by scleral fixation in 17 eyes of 17 patients without a complete posterior lens capsule support at farabi Eye Hospital. Uncorrected visual acuity improved from counting finger to 20/40 or better in 9 eyes (53 percent). The following complications were observed during the mean postoperative follow-up of 7.2 (range 3-12) months; increased intraocular pressure in 5 eyes, vitreous hemorrhage and icr hyphema in 2 eyes, cystoid macular edema (CME) and vitritis in one eye, and endophthalmitis and retinal detachment in one eye. Posterior chamber intraocular lens implantation by scleral fixation is a relatively safe procedure and can be recommended for many patients