One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps

الملخص EN

Purpose.

To assess visual results and complications of a modified technique of posterior chamber intraocular lenses (PC IOLs) in aphakic eyes without scleral flaps.

Methods.

Modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule support.

Follow-up period was six months.

Outcome measures included best-corrected visual acuity, intraocular pressure (IOP), and postoperative complications.

Results.

The study included 15 males and 10 females.

The preoperative best-corrected visual acuity (BCVA) ranged from 5/60 to 6/9.

The operation time ranged from 25 to 45 minutes (mean 35.25 ± 5.34 min).

Anterior vitrectomy was performed in 12 cases (48%).

There was no major IOL decentration.

The final BCVA ranged from 6/36 to 6/9.

Seven cases (28%) showed postoperative glaucoma, five cases (20%) had temporary hypotony, and hyphema in 2 eyes (8%).

No cases of suture erosion, postoperative endophthalmitis, retinal detachment, or IOL dislocation were detected.

Conclusion.

This technique of one-haptic scleral fixation of posterior chamber IOLs is a good choice in presence of insufficient capsule support.

It reduces the operation time, achieves the IOL stability, and minimizes postoperative suture-related complications.