Sutureless Intrascleral Posterior Chamber Intraocular Lens Fixation: Analysis of Clinical Outcomes and Postoperative Complications.

ABSTRACT:

Purpose

To report a technique for performing sutureless intrascleral fixation of a posterior chamber intraocular lens (PC-IOL) and analyzing the clinical outcomes and postoperative complications. Study Design. 68 eyes of 66 patients who received the technique were studied retrospectively.

Methods

The best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), IOL tilt and decentration, corneal topography (K1 and K2), and postoperative complications were determined at 3 months.

Results

The mean preoperative BCVA was 1.63?±?1.24 logMAR units, and the mean postoperative BCVA was 0.74?±?0.59 logMAR units at 3 months (P < 0.05). The mean preoperative IOP was 21.9?±?12.6?mmHg, and the mean postoperative IOP was 16.9?±?4.5?mmHg at 3 months (P?=?0.001). The mean preoperative corneal topography (K1 and K2) was K1?=?42.14?±?1.91 and K2?=?43.54?±?1.51; the mean postoperative corneal topography (K1 and K2) was K1?=?43.03?±?2.18 and K2?=?43.40?±?1.71 at 3 months (P?=?0.678 and 0.468, respectively). The mean preoperative spherical equivalent was +11.00?±?13.19 diopters (D), and the mean postoperative spherical equivalent was +0.06?±?0.86 D (P < 0.005). The mean IOL tilt was 2.4?±?1.7°, and the mean decentration was 0.35?±?0.21?mm. The mean ACD was 4.31?±?0.29?mm.

Conclusions

The 27-gauge sutureless intrascleral PC-IOL implantation technique minimizes intraoperative injury, simplifies procedure, and provides good PC-IOL fixation with few postoperative complications.

SUBMITTER: Liu J 

PROVIDER: S-EPMC7826223 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature