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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2016

Open Access 01-12-2016 | Research article

Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia

Authors: Dariusz Haszcz, Katarzyna Nowomiejska, Agnieszka Oleszczuk, Cesare Forlini, Matteo Forlini, Joanna Moneta-Wielgos, Ryszard Maciejewski, Katarzyna Michalska-Malecka, Anselm G. Jünemann, Robert Rejdak

Published in: BMC Ophthalmology | Issue 1/2016

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Abstract

Background

Several techniques for fixation of the posterior chamber intraocular lens (IOL) have been developed. We evaluate long-term functional outcomes and safety of posterior chamber IOL implantation using Hoffman scleral haptic fixation and sutureless Sharioth technique in patients with posttraumatic and postoperative aphakia.

Methods

This retrospective case-series included 42 eyes operated by one surgeon. The data including demographic data, ocular history, preoperative, early postoperative and final best corrected visual acuity (BCVA), rate of complications as well as postoperative IOL position were collected. The mean follow-up was 14.5 months. Hoffman haptic scleral fixation was performed in 31 eyes, Sharioth technique—in 11 eyes. Aphakia was due to eye trauma (19) or complicated cataract surgery (23).

Results

Overall, the final BCVA improved in 26 eyes, did not change in 5 eyes, and worsened in 11 eyes. No significant differences in BCVA were found between groups operated with Hoffman scleral fixation and Sharioth technique. Postoperatively, we noticed two dislocations of IOL fixated using Sharioth technique and none after Hoffman technique. No severe complications were observed.

Conclusion

Both transscleral fixation techniques are feasible methods of secondary IOL implantation in posttraumatic and postoperative aphakia. with low incidence of complications, however visual outcomes are diverse.
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Metadata
Title
Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia
Authors
Dariusz Haszcz
Katarzyna Nowomiejska
Agnieszka Oleszczuk
Cesare Forlini
Matteo Forlini
Joanna Moneta-Wielgos
Ryszard Maciejewski
Katarzyna Michalska-Malecka
Anselm G. Jünemann
Robert Rejdak
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2016
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-016-0228-y

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