J Korean Ophthalmol Soc.  2008 Jul;49(7):1071-1077. 10.3341/jkos.2008.49.7.1071.

Surgical Results of Transscleral Fixation of Foldable Acrylic Intraocular lens with Unique Shape of Haptics

• Ryu EH
• Lee JH
• Lee SY

• KMID: 1476960
• DOI: http://doi.org/10.3341/jkos.2008.49.7.1071

Abstract

PURPOSE
To report the surgical results of transscleral fixation of foldable acrylic intraocular lens with a unique haptic shape (CORNEAL(R), ACR6D, France). METHODS: We analyzed the medical records of 18 patients (19 eyes) who had transscleral fixation of posterior chamber intraocular lens implantation from July 2004 to July 2006.
RESULTS
According to the cause of operation, there were five eyes with complicated cataract, eight with trauma, and six with aphakia associated with a previous operation. The mean age of the patients was 55.9+/-21.2 years. The mean preoperative best-corrected visual acuity was 0.31+/-0.35, and the postoperative value was 0.63+/-0.29 (p<0.05). The mean preoperative spherical refractive equivalent was 6.58+/-5.33 diopter, and the postoperative value was -1.77+/-1.59 diopter. The mean refractive error was -1.13+/-1.57 diopter. This showed a myopic shift (p<0.05). The mean astigmatism decreased with time, and it stabilized two months after the operation. The trend was toward mild against-the-rule astigmatism. The mean follow-up duration was 11.0+/-7.6 months.
CONCLUSIONS
In eyes with inadequate capsular support, transscleral fixation of posterior chamber intraocular lens implantation with CORNEAL(R) lenses is a safe and effective procedure for visual correction.

Keyword

Aphakia; Complicated cataract; Foldable acrylic IOL; Secondary IOL implantation; Transscleral fixation

MeSH Terms

Aphakia
Astigmatism
Cataract
Eye
Follow-Up Studies
Humans
Lens Implantation, Intraocular
Lenses, Intraocular
Medical Records
Refractive Errors
Visual Acuity

Figure

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  Figure 1. Foldable acrylic intraocular lens (CORNEALⓇ, ACR6D, France). 10-0 ProleneⓇ sutures were fixed to the haptic of the lens.

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  Figure 2. Astigmatism values [absolute value] versus time. The mean astigmatism decreased as time passed, and it stabilized 2 months after the operation.

Reference

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