TRANSSCLERAL FIXATION OF POSTERIOR CHAMBER INTRAOCULAR LENSES

被引:21
作者
PRICE, FW [1 ]
WELLEMEYER, M [1 ]
机构
[1] CORNEAL CONSULTANTS INDIANA,INDIANAPOLIS,IN
关键词
INTRAOCULAR LENS; PENETRATING KERATOPLASTY; SCLERAL FIXATION; SECONDARY LENS IMPLANTATION; TRANSSCLERAL FIXATION;
D O I
10.1016/S0886-3350(13)80219-2
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
in a retrospective study of 75 consecutive eyes having transscleral suturing of a posterior chamber intraocular lens (IOL) (mean follow-up five months), 57% had improved best corrected visual acuity; 67% of those obtained a visual acuity of 20/40 or better. Thirty-seven eyes had an IOL exchange without penetrating keratoplasty (PKP) at the time of implantation, 15 had simultaneous PKP, and 23 had secondary lens implantation without IOL exchange or a corneal transplant. Transscleral fixation is an effective means of implanting a posterior chamber lens in eyes without capsular support. It allows secure two-point lens fixation with minimal risk of IOL tilting or suture erosion through the conjunctiva or sclera.
引用
收藏
页码:567 / 573
页数:7
相关论文
共 25 条
  • [1] Davis RM, Best D, Gilbert GE, Comparison of intraocular lens fixation techniques performed during penetrating keratoplasty, Am J Ophthalmol, 111, pp. 743-749, (1991)
  • [2] Lindquist TD, Agapitos PJ, Lindstrom RL, Et al., Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support, Ophthalmic Surg, 20, pp. 769-775, (1989)
  • [3] Coli AF, Price FW, Whitson WE, Intraocular lens exchange for anterior chamber intraocular lens-induced corneal endothelial damage, Ophthalmology, 100, pp. 384-393, (1993)
  • [4] Price FW, Whitson WE, Visual results of suturefixated posterior chamber lenses during penetrating keratoplasty, Ophthalmology, 96, pp. 1234-1240, (1989)
  • [5] Hassan TS, Soong HK, Sugar A, Meyer RE, Implantation of Kelman-style, open-loop anterior chamber lenses during keratoplasty for aphakic and pseudophakic bullous keratopathy, Ophthalmology, 98, pp. 875-880, (1991)
  • [6] Johnson SM, Results of exchanging anterior chamber lenses with sulcus-fixated posterior chamber IOLs without capsular support in penetrating keratoplasty, Ophthalmic Surg, 20, pp. 465-468, (1989)
  • [7] Duffey RJ, Holland EJ, Agapitos PJ, Lindstrom RL, Anatomic study of transsclerally sutured intraocular lens implantation, Am J Ophthalmol, 108, pp. 300-309, (1989)
  • [8] Smith PW, Wong SK, Stark WJ, Et al., Complications of semiflexible, closed-loop anterior chamber intraocular lenses, Arch Ophthalmol, 105, pp. 52-57, (1987)
  • [9] Price FW, Whitson WE, Collins K, Johns S, Changing trends in explanted intraocular lenses: a single center study, J Cataract Refract Surg, 18, pp. 470-474, (1992)
  • [10] Lane SS, Lubniewski AJ, Holland EJ, Transsclerally sutured posterior chamber lenses: improved lens designs and techniques to maximize lens stability and minimize suture erosion, Semin Ophthalmol, 4, pp. 245-252, (1992)