J Korean Ophthalmol Soc.  1990 Apr;31(4):445-453.

Transecleral Suture Fixation for a Posterior Chamber Intraocular Lens Implantation

• Kim YB
• Min WK
• Ahn BH

Abstract

Posterior chamber intraocular lenses were implanted into 20 eyes without the posterior capsular capsular support by securing both haptics of the lens to the sclera with 10-0 prolene suture. The follow-up period ranged from 6 to 24 months(average 9.4 months). At the last follow-up visit, 17 eyes(85%) had a vision of 0.7 or better. The position of the implanted lens was proved satisfactory when compard with eyes with posterior chamber intraocular lens without scleral fixation suture by postoperative A-scan measurement of the anterior chamber depth, the results of refraction and slit-lamp examination. There were no eyes with remarkable decentration or tilt of the implanted lens. In two eyes, intraoperative bleeding occurred from the inferior chamber angle and ceased spontaneously. Postoperatively there were no remarkable inflammatory responses or complications. From the results, we suggest that the position of scleral puncture with a hypodermic needle is 1.2 - 1.4mm from the posterior surgical limbus in the upper quadrant and the advancement of the needle is directing parallel to the posterior surface of the iris.

Keyword

posterior capsule rupture; posterior chamber intraocular lens; transscleral suture

MeSH Terms

Anterior Chamber
Follow-Up Studies
Hemorrhage
Iris
Lens Implantation, Intraocular*
Lenses, Intraocular*
Needles
Polypropylenes
Punctures
Sclera
Sutures*
Polypropylenes