Abstract

Implantation of scleral fixation intraocular lens for the surgical management of aphakia cases without capsular support is a safe procedure. Prospective study was carried out at Lumbini Eye Institute, Bhairahawa. A total of 32 patients underwent scleral fixation intraocular lens implantation within a period of two years from February 2014 to February 2016. The age range was from 15 to 79 years; mean age was 47.56 ± 20.16 SD. Among them 14 (43.75%) were male and 18 (56.25%) were female. The follow-up lasted for 24 months. SFIOL for the surgical management of aphakia in the absence of capsular support is a safe procedure. The long-term follow-up is needed for an accurate evaluation of outcomes.

Highlights

  • Implantation of scleral fixation intraocular lens for the surgical management of aphakia cases without capsular support is a safe procedure

  • Implantation of a scleralfixated intraocular lens for the surgical management of aphakia in the absence of capsular support is a safe procedure with a low risk of complications in the early postoperative period.[2]

  • This study aims to see the advantange of scleral fixation of intraocular lens with ab Interno Technique over the ab Externo Technique

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Summary

Introduction

Implantation of scleral fixation intraocular lens for the surgical management of aphakia cases without capsular support is a safe procedure. The suture is passed form the inside to the outside of the eye in order to avoid the blind pass through the ciliary sulcus.[1] Implantation of a scleralfixated intraocular lens for the surgical management of aphakia in the absence of capsular support is a safe procedure with a low risk of complications in the early postoperative period.[2] This technique of suture knot coverage was described in 2006 by Hoffman, et al,[3,4] and avoids the need for conjunctival dissection, scleral cauterization and the complication like scleral wound and its infection due to exposed suture.

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