Purpose: To report a technique for performing sutureless intrascleral fixation of a posterior chamber intraocular lens (PC-IOL) and analyzing the clinical outcomes and postoperative complications. . 68 eyes of 66 patients who received the technique were studied retrospectively.
Methods: The best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), IOL tilt and decentration, corneal topography (1 and 2), and postoperative complications were determined at 3 months.
Results: The mean preoperative BCVA was 1.63 ± 1.24 logMAR units, and the mean postoperative BCVA was 0.74 ± 0.59 logMAR units at 3 months ( < 0.05). The mean preoperative IOP was 21.9 ± 12.6 mmHg, and the mean postoperative IOP was 16.9 ± 4.5 mmHg at 3 months ( = 0.001). The mean preoperative corneal topography (K1 and K2) was 1 = 42.14 ± 1.91 and 2 = 43.54 ± 1.51; the mean postoperative corneal topography (1 and 2) was 1 = 43.03 ± 2.18 and 2 = 43.40 ± 1.71 at 3 months ( = 0.678 and 0.468, respectively). The mean preoperative spherical equivalent was +11.00 ± 13.19 diopters (), and the mean postoperative spherical equivalent was +0.06 ± 0.86 ( < 0.005). The mean IOL tilt was 2.4 ± 1.7°, and the mean decentration was 0.35 ± 0.21 mm. The mean ACD was 4.31 ± 0.29 mm.
Conclusions: The 27-gauge sutureless intrascleral PC-IOL implantation technique minimizes intraoperative injury, simplifies procedure, and provides good PC-IOL fixation with few postoperative complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826223 | PMC |
| http://dx.doi.org/10.1155/2021/8857715 | DOI Listing |
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