ISSN: 1300-0365
Dil: Türkçe
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Piggyback Intraocular Lens Implantation
Hüseyin BAYRAMLAR*, Mehmet BORAZAN**, Uğurcan KESKİN***
* Doç.Dr., İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Uz.Dr., İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,*** Arş.Gör.Dr., İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, MALATYA
Objective: To evaluate the effectiveness of piggyback intaocular lens implantation for treatment of high hyper-metropic patients and for correcting myopic and hypermetropic refractive errors after cataract surgery.Material and Methods: Seven eyes of four patients were included into the study. Clear lens extraction and primary bilateral piggyback intraocular lens implantation were performed in both eyes of a patient with high hyperopia. Secondary piggyback intraocular lens implantation was performed in five eyes of three patients because of marked pseudophakic ammetropia. Visual outcomes and complications were recorded.Results: Significant decrease of ammetropia and increase in visual satisfaction were obtained. Mean best corrected visual acuities were 0.35 ± 0.21(0.16-0.8) preoperatively, and 0.65 ± 0.27 (0.3-1.0) postoperatively, res-pectively. Mean preoperative and postoperative refractions were +2.79 ± 6.19D (range :+9.00 ? 6.05) ve +0.48 ± 1.44 D (range: +2.12 -2.25), respectively. We encountered with two complications in two eyes. In one eye, decentralization of the intraocular lens necessitating reoperation was developed. We also observed an interlenticular membrane that did not reach to the visual axis in one eye with primary implantation. Conclusion: Primary piggyback intraocular lens implantation with clear lens extraction can be an effective and successful method for treatment of high hypermetropia. Secondary piggyback intraocular lens implantation seems to be a useful and easy method for correction of pseudophakic refractive error.Keywords: Çift göz içi lensi, İntraoküler lensTurkiye Klinikleri J Ophthalmol 2004, 13:68-725
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