Ultrasound biomicroscopic analysis of posterior chamber intraocular lenses with transscleral sulcus suture
Section snippets
Subjects and methods
We examined 43 eyes of 41 subjects, 17 women and 24 men, after transscleral sulcus suture of an IOL in which both haptics had been fixed. The ages of the subjects ranged from 46 to 85 years; mean (± standard deviation) was 72 ± 9 years. Follow-up duration ranged from 5 to 76 months; mean (± standard deviation) was 27 ± 21 months. Surgery was performed by surgeons in our clinic with the same technique as described by Lewis.1 We performed anterior vitrectomy before having the needle penetrate the
Visual acuity
Figure 4 shows the best-corrected visual acuity before and after surgery. The best-corrected visual acuity was achieved at 5 months after the operation. Surgical procedures might contribute to a final corrected visual acuity loss of more than 2 lines of the best postoperative corrected visual acuity in five cases. The causes of loss were macular degeneration after cystoid macular edema in two cases, macular hole in one, severe corneal astigmatism in one, and persistent inflammation of anterior
Discussion
Many articles introduce surgical techniques for transscleral sulcus suturing of an IOL and complications such as IOL decentration, cystoid macular edema, retinal detachment, and glaucoma,1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 but few observe and analyze the fixation position directly in the living eyes22, 23, 24 Pavlin et al22 observed sutured eyes with UBM. Of 34 haptics in 17 subjects, 13 (38%) were adequately located in the sulcus region in their series.
References (29)
Ab externo sulcus fixation
Ophthalmic Surg
(1991)Pars plana phacoprosthesis (aphakic intraocular implant)a preliminary report
Ophthalmic Surg
(1981)- et al.
Posterior chamber intraocular lens implantation in the absence of posterior capsular support
Ophthalmic Surg
(1988) - et al.
Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support
Ophthalmic Surg
(1989) - et al.
Implantation of a posterior chamber lens without capsular support during penetrating keratoplasty or as a secondary lens implant
Ophthalmic Surg
(1988) - et al.
Fixation of posterior chamber lenses by transscleral suturestechnique and preliminary results
Arch Ophthalmol
(1989) - et al.
Implantation of posterior chamber lens in the absence of capsular and zonular support
Arch Ophthalmol
(1988) - et al.
Modified needle and a “one-port plus” approach for ciliary sulcus fixation of a dislocated IOL
J Cataract Refract Surg
(1993) - et al.
Postoperative refraction and anterior chamber depth after complicated cataract surgery with vitreous loss and transscleral suture fixation of posterior chamber lenses
Ophthalmic Surg
(1993) - et al.
A refined technique of transscleral suture fixation of posterior chamber lenses developed for cases of complicated cataract surgery with vitreous loss
Ophthalmic Surg
(1993)
Sulcus fixation without flaps
Ophthalmology
Implantation of scleral-fixed posterior chamber intraocular lenses
J Cataract Refract Surg
Sutured retropupillary posterior chamber intraocular lenses for exchange or secondary implantation. The 12th Annual Binkhorst Lecture, 1988
Ophthalmology
Endoscope with built-in needle for transscleral ciliary sulcus fixation of posterior chamber intraocular lens in secondary implantation
Jpn J Ophthalmic Surg
Cited by (50)
Pigment dispersion syndrome and pigmentary glaucoma after secondary sulcus transscleral fixation of single-piece foldable posterior chamber intraocular lenses in Chinese aphakic patients
2017, Journal of Cataract and Refractive SurgeryLaser iridotomy to treat uveitis-glaucoma-hyphema syndrome secondary to reverse pupillary block in sulcus-placed intraocular lenses: Case series
2015, Journal of Cataract and Refractive SurgeryIn vivo analysis of glued intraocular lens position with ultrasound biomicroscopy
2013, Journal of Cataract and Refractive SurgeryCitation Excerpt :Sewelam et al.7 examined the haptic position with transscleral-fixated IOLs by UBM and found that 55% were located in the sulcus. Manabe et al.13 used UBM to identify haptic placement and found only 32 of 86 haptics were sutured at the sulcus. In a UBM analysis of scleral-fixated IOLs, Bellucci et al.14 found it difficult to suture the haptics precisely.
Intrascleral fibrin glue intraocular lens fixation combined with Descemet-stripping automated endothelial keratoplasty or penetrating keratoplasty
2012, Journal of Cataract and Refractive SurgeryCorneal Diseases
2011, Ophthalmic Ultrasonography: Expert Consult - Online and PrintSecondary pigment dispersion syndrome with single-piece acrylic IOL
2010, Journal of Cataract and Refractive Surgery