One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps

Purpose. To assess visual results and complications of a modified technique of posterior chamber intraocular lenses (PC IOLs) in aphakic eyes without scleral flaps. Methods. Modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule suppor...

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Main Authors: Ashraf I. Moawad, Asaad A. Ghanem
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/891839
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author Ashraf I. Moawad
Asaad A. Ghanem
author_facet Ashraf I. Moawad
Asaad A. Ghanem
author_sort Ashraf I. Moawad
collection DOAJ
description Purpose. To assess visual results and complications of a modified technique of posterior chamber intraocular lenses (PC IOLs) in aphakic eyes without scleral flaps. Methods. Modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule support. Follow-up period was six months. Outcome measures included best-corrected visual acuity, intraocular pressure (IOP), and postoperative complications. Results. The study included 15 males and 10 females. The preoperative best-corrected visual acuity (BCVA) ranged from 5/60 to 6/9. The operation time ranged from 25 to 45 minutes (mean 35.25 ± 5.34 min). Anterior vitrectomy was performed in 12 cases (48%). There was no major IOL decentration. The final BCVA ranged from 6/36 to 6/9. Seven cases (28%) showed postoperative glaucoma, five cases (20%) had temporary hypotony, and hyphema in 2 eyes (8%). No cases of suture erosion, postoperative endophthalmitis, retinal detachment, or IOL dislocation were detected. Conclusion. This technique of one-haptic scleral fixation of posterior chamber IOLs is a good choice in presence of insufficient capsule support. It reduces the operation time, achieves the IOL stability, and minimizes postoperative suture-related complications.
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spelling doaj-art-df1e05c217da48e5b285eacb83a9ed4a2025-08-20T03:21:05ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/891839891839One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral FlapsAshraf I. Moawad0Asaad A. Ghanem1Ophthalmic Center, Faculty of Medicine, Mansoura University, P.O. Box 35516, Mansoura, EgyptOphthalmic Center, Faculty of Medicine, Mansoura University, P.O. Box 35516, Mansoura, EgyptPurpose. To assess visual results and complications of a modified technique of posterior chamber intraocular lenses (PC IOLs) in aphakic eyes without scleral flaps. Methods. Modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule support. Follow-up period was six months. Outcome measures included best-corrected visual acuity, intraocular pressure (IOP), and postoperative complications. Results. The study included 15 males and 10 females. The preoperative best-corrected visual acuity (BCVA) ranged from 5/60 to 6/9. The operation time ranged from 25 to 45 minutes (mean 35.25 ± 5.34 min). Anterior vitrectomy was performed in 12 cases (48%). There was no major IOL decentration. The final BCVA ranged from 6/36 to 6/9. Seven cases (28%) showed postoperative glaucoma, five cases (20%) had temporary hypotony, and hyphema in 2 eyes (8%). No cases of suture erosion, postoperative endophthalmitis, retinal detachment, or IOL dislocation were detected. Conclusion. This technique of one-haptic scleral fixation of posterior chamber IOLs is a good choice in presence of insufficient capsule support. It reduces the operation time, achieves the IOL stability, and minimizes postoperative suture-related complications.http://dx.doi.org/10.1155/2012/891839
spellingShingle Ashraf I. Moawad
Asaad A. Ghanem
One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps
Journal of Ophthalmology
title One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps
title_full One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps
title_fullStr One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps
title_full_unstemmed One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps
title_short One-Haptic Fixation of Posterior Chamber Intraocular Lenses without Scleral Flaps
title_sort one haptic fixation of posterior chamber intraocular lenses without scleral flaps
url http://dx.doi.org/10.1155/2012/891839
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