Abstract :
Context: Scleral fixation of IOL is the procedure of implanting a posterior chamber IOL in the sulcus
in absence of posterior capsular support as in prior cataract extraction or Aphakia, Traumatic cataract,
subluxation/dislocation of natural lens.
Aims: To study the outcome of 68 Aphakic eyes which underwent Sutured Scleral Fixation of IOLs.
Results in terms of Intraoperative difficulties, Postoperative complications and Visual recovery were noted.
Settings and Design: Prospective Interventional Study.
Materials and Methods : 68 eyes of 68 patients were subjected to Sutured Scleral fixation of Posterior
chamber IOL surgery in Dept. of Ophthalmology in a tertiary Government teaching institute, either primary
or as secondary surgery. Good Best Corrected Visual Acuity and a quiet eye with no fundus abnormality
were the prerequisites. Two point fixation was done using 10-0 Prolene straight needle suture by a single
surgeon.
Results: Intraoperative difficulties encountered were Hypotony, hyphaema, and suture entangling.
Postoperative complications like Hyphaema and Iritis were seen. Postoperative Best Corrected Visual
Acuity in 92% cases was 6/6 to 6/18. No special IOL or instruments were required in this technique.
Conclusions: Sutured Scleral fixation is the best option for Aphakic patients without capsular support in
the hands of a careful surgeon.
Keyword :
Scleral Fixated IOLs, Aphakia.