Korean J Ophthalmol.  2003 Dec;17(2):127-132. 10.3341/kjo.2003.17.2.127.

Clinical results of a scleral fixation of the posterior chamber intraocular lens, through sclerotomies, 1 mm posterior to the limbus

• Shin WJ
• Song BJ

• KMID: 1037768
• DOI: http://doi.org/10.3341/kjo.2003.17.2.127

Abstract

The aim of this study was to evaluate the clinical outcomes of scleral fixation of a posterior chamber intraocular lens and an anterior vitrectomy through sclerotomies, 1 mm posterior to the limbus. The study comprised of seven eyes that required a scleral fixation. Sclerotomies, 1 mm posterior to the limbus, were performed using a 20G sclerotome at the 2 and 8 o'clock positions. Group 1 was defined as four eyes requiring scleral fixation of the secondary IOL (Intraocular lens), and group 2 as three eyes where dislocated IOLs were repositioned and fixed to the sclera via sclerotomy sites. In all the eyes, the knot of string (10-0 prolene, W1713, Ethicon, USA) was buried. Postoperatively, the visual acuity was greatly improved, by more than 4 lines in the Snellen visual acuity chart, with the exception of one case of macular degeneration. The scleral fixation of the IOL through sclerotomies, 1 mm posterior to the limbus, had advantages in that the scleral fixation of the IOL could be achieved through sclerotomy sites, and the anterior vitrectomy parallel to the iris plane.

MeSH Terms

Aged
Aged, 80 and over
Female
Foreign-Body Migration/etiology
Foreign-Body Migration/surgery
Human
Lens Implantation, Intraocular/adverse effects
Lens Implantation, Intraocular/methods*
Limbus Corneae
Male
Middle Aged
Sclera/surgery*
Suture Techniques*