Efficacy of modified sutureless intrascleral intraocular lens fixation

Abstract

Objective To evaluate the efficacy of modified sutureless intrascleral intraocular lens fixation. Methods Thirty-five eyes of 35 cases of aphakic eyes without enough capsule for IOL supporting were selected. All cases underwent modified sutureless intrascleral intraocular lens fixation by double needle directly through the conjunctival sclera. The patients were followed up for 6-12 months. Results The operation was successful in all cases. The difference of best corrected visual acuity was significant between before and after operation (P 0.05). The uncorrected visual acuity≥0.5 at 2 weeks after operation was in 33 cases (94.3%). Intraocular lens pupil capture occurred in 2 cases(5.7%), the IOLs were returned after mydriasis. Vitreous hemorrhage absorbed in 1 case (2.8%) 6 days after surgery. The cystoid macular edema faded in 1 case (2.8%) 10 days after surgery. No intraocular len displacement, intraocular len loop exposure, severe uveal reaction, secondary glaucoma, corneal decompensation, retinal detachment or explosive choroidal hemorrhage occurred. Conclusion Modified sutureless intrascleral intraocular lens fixation is a simple, minimally invasive, safe and effective method. Key words: Lens, intraocular; Fixation, intrascleral, sutureless, modified