Clinical Study
Eye (2006) 20, 64–70. doi:10.1038/sj.eye.6701804; published online 4 February 2005
Scleral-fixated posterior chamber intraocular lenses in nonvitrectomised eyes
Financial/proprietary interest: The authors do not have any commercial or proprietary interest in any of the products referred to in the paper.
Y F Yang1, C Bunce2, J K G Dart3, R L Johnston4 and D G Charteris3
- 1Department of Ophthalmology, Queen Alexandra Hospital, Portsmouth, UK
- 2Medical Statistics, Research & Development, Moorfields Eye Hospital, London, UK
- 3Moorfields Eye Hospital, London, UK
- 4The Eye Department, Cheltenham General Hospital, Cheltenham, UK
Correspondence: YF Yang, Department of Ophthalmology, Queen Alexandra Hospital, Southwick Road, Cosham, Portsmouth PO6 3LY, UK. Tel: +44 23 9228 6444; Fax: +44 23 9228 6440; E-mail: yyfung@aol.com
Received 18 August 2004; Revised 21 October 2004; Accepted 21 October 2004; Published online 4 February 2005.
Abstract
Objective
To assess the long-term outcome of scleral-fixated sutured posterior chamber intraocular lens (SPCIOL) implantation in non pars plana vitrectomised eyes (1) to evaluate the long-term visual outcome, (2) to identify preoperative risk factors for poor visual outcomes, and (3) to identify the incidence of vitreoretinal complications.
Method
A retrospective review of 65 eyes, which had not undergone pars plana vitrectomy prior to scleral-fixated SPCIOL implantation.
Results
In all, 65 eyes of 61 patients were analysed. The median follow-up period was 16 months (range 1–68 months). At final follow-up, 43 (66%) eyes had unchanged or improved BCVA at final follow-up. A total of 20 (31%) eyes had at least a two line improvement and eight (12%) eyes had at least a two line deterioration in final BCVA. No significant preoperative risk factors for a poor visual outcome were identified. In all, 24 eyes (37%) had per- and postoperative adverse events. These eyes were significantly more likely to have a poor visual outcome. Three eyes (4.6%) had a retinal detachment in the postoperative period, all of which had no perception of light at final follow-up.
Conclusions
This study confirmed that while scleral-fixated SPCIOL intraocular lens implantation might be beneficial, there is a significant risk of per- and postoperative complications leading to loss of best-corrected vision in some eyes.
Keywords:
scleral-fixated, sutured intraocular lenses, posterior chamber
