ISSN: 1300-0365
Dil: Türkçe
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Visual Prognosis And Complications Intransscleral Sutured Intraocular Lens Implantation
Turgut YILMAZ*, Tamer DEMİR*, Şahap KÜKNER**, Lokman ASLAN***,Burak TURGUT***, Orhan AYDEMİR***
* Yrd.Doç.Dr. Fırat Üniversitesi Fırat Tıp Merkezi Göz Hastalıkları AD,** Doç.Dr. Fırat Üniversitesi Fırat Tıp Merkezi Göz Hastalıkları AD,*** Araş.Gör.Dr. Fırat Üniversitesi Fırat Tıp Merkezi Göz Hastalıkları AD, ELAZIĞ
Purpose: This study was conducted retrospectively, in order to assess the visual prognosis and incidence of complications in the transscleral fixation intraocular lens (IOL) implanted eyes.
Method: The study group consisted of 30 eyes of 30 patients, who had transscleral fixation IOL implantation in between 1994-2000. In all cases rectangular scleral flap were prepared in 11 and 5' clock positions. Special scleral lenses, which had holes on their haptics, were fixed by using 10/0 propylen sutures. Cases were evaluated from aspects of visual prognosis and postoperative complications.
Results: After a follow up period of 12 months, in 20 cases (66.6%) visual acuity was increased. While in 6 cases (20%) remained the same, in 4 cases (13.3%) visual acuity decreased. Cystoid macular edema in 8 (26.6%), IOL malpositions in 4 (13.3%), pupillary irregularity in 3 (10%), bullous keratopathy in 1 (3.3%), retinal detachment in 1 (3.3%), detachment of scleral suture in 1 (3.3%), vitreal atachment of wound in 1 (3.3%) eyes developed in postoperative period.
Conclusion: The postoperative visual acuity and complications with the transscleral fixation IOL implantation was found to be tolerable. In conclusion, it could be postulated that, transscleral fixation IOL implantation is an alternative method in cases without posteror capsular support.Keywords: Aphakia, Transscleral fixation, Visual prognosis, complicationsTurkiye Klinikleri J Ophthalmol 2001, 10:20-24
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