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Automated Perimetry
Carbonic Anhydrase Inhibitors
Intra Ocular Lens Power Calculation and Optic Biometry...
Visual Field Defects in Glaucoma
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Current Minimal Invasive Angle Procedures Without Implants for the Treatment of Glaucoma...
Intra Ocular Lens Power Calculation and Optic Biometry...
Automated Perimetry
Carbonic Anhydrase Inhibitors
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Glokom-Katarakt 2022 , Vol 17 , Num 3
Abstract Free Full Text Similar Articles Mail to Author
Evaluation of the Postoperative Outcomes of Patients with Scleral-fixated Intraocular Lens Implantation
Dilek Özkaya1, Umut Karaca1, Gülşah Sofu1, Mesut Avcı2, Alper Ertuğrul2
1Asist. Prof . Dr., Süleyman Demirel University, Faculty of Medicine, Department of Ophthalmology, Isparta, Türkiye
2Asist. Dr., Süleyman Demirel University, Faculty of Medicine, Department of Ophthalmology, Isparta, Türkiye
DOI : 10.37844/glauc.cat.2022.17.21 Purpose: To evaluate the visual outcomes and complications of scleral-fixated intraocular lens (IOL) implantation in patients without capsule and zonule support.

Materials and Methods: We retrospectively reviewed files of patients who underwent primary or secondary scleral-fixated intraocular lens (IOL) implantation between June 2018 and November 2020. Age, gender, preoperative surgery indications, and duration of follow-up were recorded in all patients. The preoperative best-corrected visual acuity (BCVA), intraocular pressure (IOP), refraction outcomes, central macular thickness (CMT), and macular segmentation measurements were compared with postoperative values.

Results: The study included 25 eyes of 25 patients. The median age was 72 (32-92) years. Surgical indication was aphakia in 11 patients (44%), IOL subluxation in 7 patients (28%), traumatic cataract in 3 patients (12%) , lens dislocation in 2 patients (8%), senile cataract in 1 patient (4%) and anterior chamber IOL in 1 patient (4%). The median follow-up time was 6 months (3-24 months). A significant difference was found when preoperative BCVA and SE were compared with postoperative values (p<0.01). There was no significant difference between preoperative and postoperative IOP, CMT, and macular segmentation measurements (p>0,05). The postoperative complications included ocular hypertension in 4 patients (16%), choroidal detachment in 1 one patient (4%), retinal detachment in 1 patient (4%), macular edema in 1 patient (4%) , and endophthalmitis in 1 patient (4%).

Conclusion: Scleral-fixated IOL implantation may be preferred in patients without capsule and zonule support for rehabilitation of aphakia and improvement of BCVA. However, low complication rates should not be ignored. Keywords : Scleral fixated intraocular lens implantation, best-corrected visual acuity, complication

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