VISUAL OUTCOME IN SCLERAL FIXATED INTRAOCULAR LENSES

OBJECTIVE To find out visual outcome after sclera fixated intraocular lens implantation. METHODS 25 patients from 2012 to 2014 who were referred after complicated cataract surgery or had traumatic aphakia leading to dislocated lens and had undergone secondary sclera fixated intraocular lens implantation at our institute by single surgeon under standard operative conditions. RESULTS Out of 25 patients, 16 patients had to undergo surgery secondary to cataract surgery related complications. 6 patients had traumatic dislocated lens. 3 patients had undergone previous intracapsular cataract extraction. 10 (40%) patients had final postoperative visual acuity between 6/12 and 6/9. 9 (36%) patients had visual acuity of 6/18 to 6/60. 6 (24 %) patients had visual acuity of < 6/60. 19 patients (76%) had good visual outcome. CONCLUSION Scleral fixated IOL offer a good alternative for secondary IOL implantation. They are most closely related to natural position of lens as compared to anterior chamber IOL or iris claw lens. Visual outcome is good after sclera fixated IOL and if any posterior segment pathology develops in these patients. It can be managed easily, which is not possible in other secondary IOL's.