A STUDY OF VISUAL OUTCOME AND COMPLICATIONS OF SCLERAL FIXATED INTRAOCULAR LENS
Keywords:
posterior capsular rent, scleral fixated intraocular lens, visual outcomeAbstract
AIM: To study visual outcome and complications of scleral fixated intraocular lens.
MATERIALS AND METHODS:The study includes 35 eyes of 35 aphakic patients presenting to Ophthalmology department between November 2019 to April 2021 after obtaining Institutional Ethical Committee Clearance.Informed and written consent were obtained from each patient included in the study.Goldmann applanation tonometer was used to record IOP for all cases preoperatively.Detailed ophthalmic examination was done on slit lamp biomicroscope and best corrected visual acuity was recorded. Keratometry was done using an autorefractokeratometer. The axial length of the eye was calculated with the help of A scan biometry in aphakic mode. IOL power was then calculated with the SRK T formula using 118.2 as A constant for SFIOL. Patients underwent anterior vitrectomy followed by scleral fixation intraocular lens implantation by Gabor's technique after the detailed preoperative examination. The postoperative examination was done on day1,day7,at 1 month and at 3 months,and the findings were noted.
RESULT:Improvement in BCVA to 6/18 or more was observed in all 36 (100%) patients.
CONCLUSION :From this study we can conclude that:
- Combined anterior vitrectomy and scleral-fixated sutured PCIOL implantation is an effective and safe procedure to correct aphakia in eyes without adequate capsular support. It provides excellent visual outcome with less postoperative complications.
- It is a superior alternative to ACIOLs and iris fixated IOLs as it decreases the complications like bullous keratopathy, UGH syndrome, iritis, CME etc.
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Copyright (c) 2024 1) DR KAMLESH NAJUKRAM LANJE , 2) DR RAJESH B GOTEKAR, Sreelakshmi Pillai
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