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    Dr Partha S Barai
    Clinical Study of Intraocular Lens Implantation by Scleral Suture Fixation after Lensectomy and Vitrectomy. Objective: To investigate the surgical techniques and clinical significance of intraocular lens implantation by scleral suture fixation after lensectomy and vitrectomy. Dr. Partha S. Barai, MBBS, MS (Ophthalmology)

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    Abstract

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    Dr Partha S Barai
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    Clinical Study of Intraocular Lens Implantation by Scleral Suture Fixation after Lensectomy and Vitrectomy. Objective: To investigate the surgical techniques and clinical significance of intraocular lens implantation by scleral suture fixation after lensectomy and vitrectomy. Dr. Partha S. Barai, MBBS, MS (Ophthalmology)

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    Clinical Study of Intraocular Lens Implantation by Scleral Suture Fixation after Lensectomy and Vitrectomy. Objective: To investigate the surgical techniques and clinical significance of intraocular lens implantation by scleral suture fixation after lensectomy and vitrectomy. Dr. Partha S. Barai, MBBS, MS (Ophthalmology)

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views2 pages

    Abstract

    Uploaded by

    Dr Partha S Barai
    Clinical Study of Intraocular Lens Implantation by Scleral Suture Fixation after Lensectomy and Vitrectomy. Objective: To investigate the surgical techniques and clinical significance of intraocular lens implantation by scleral suture fixation after lensectomy and vitrectomy. Dr. Partha S. Barai, MBBS, MS (Ophthalmology)

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    © All Rights Reserved
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    of 2

    Clinical Study of Intraocular Lens Implantation

    by Scleral Suture Fixation after Lensectomy and Vitrectomy


    Dr. Partha S. Barai, MBBS, MS (Ophthalmology)

    ABSTRACT

    Objective: To investigate the surgical techniques and clinical significance of


    intraocular lens implantation by scleral suture fixation after lensectomy and
    vitrectomy.

    Methods:
    According to the inclusion and exclusion criteria, 19 cases (20 eyes) were
    selected for IOL implantation by scleral suture fixation after lensectomy and
    vitrectomy. The uncorrected visual acuity (VA), best-corrected visual acuity
    (BCVA), intraocular pressure (IOP), preoperative IOL position and surface clarity,
    and complications were recorded, analyzed and compared.

    Results: In 20 eyes of 19 patients who underwent IOL implantation by scleral


    suture fixation in this study, both VA and BCVA after surgeries were significantly
    improved compared with those before surgeries (P<0.05). 11 eyes of 10 patients
    had IOP ≥ 21mmHg before surgeries. Three months after surgeries, IOP of all
    these affected eyes were within 21 mmHg, and no affected eyes required the
    application of ocular hypotensive drugs. Three months after surgeries, 17 eyes of
    16 patients (85%) had centered IOL position and 3 eyes of 3 patients (15%) had
    slightly tilted IOL, all of these tilted IOLs were in patients with ocular trauma and
    all of them were found to be caused by scar adhesion in the peripheral part. In two
    eyes, the IOL optical edge was completely blocked by the pupil, which was only
    found after dilating the pupil. The pupil of one eye was traumatic and irregularly
    dilated, and the edge of the optical part of IOL was exposed. In two eyes of two
    patients who underwent silicone oil removal and IOL fixation during the same
    surgery, a small number of silicone oil droplets were found on the surface of IOL
    in the early stage after surgeries, and in the later stage, small flakes of pigment
    granules were observed. During the 3-month postoperative follow-up period, no
    patient had complications such as IOL dislocation, exposure of fixation suture,
    retinal detachment and corneal endothelial decompensation.

    Conclusion: For patients with traumatic cataracts or primary subluxation or


    total dislocation of their own lens or intraocular lens, if the capsular support is
    inadequate or absent, IOL implantation after lensectomy with total capsulectomy
    and vitrectomy by scleral suture fixation technique can effectively correct aphakia
    and improve vision with relatively low complications.
    Key words: Intraocular lens implantation, Scleral sutured fixation, The absence of
    posterior capsule, Clinical study

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