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D. Ma, M. Kim, W. Wee, J. Lee; Clinical Comparison of Ciliary Sulcus or Ciliary Body Localization in Transcleral Fixation of Posterior Chamber Intraocular Lens. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5399.
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© ARVO (1962-2015); The Authors (2016-present)
To compare clinical outcome of ciliary sulcus or ciliary body localization in transcleral fixation of posterior chamber intraocular lens (PIOL)
Retrospective review of 65 patient' eyes were divided into 2 groups based on the ciliary sulcus (Group 1, G1:1mm away from the limbus, N=37) or ciliary body localization(Group 2, G2; 3mm apart from the limbus, N=28) in transcleral fixation of PIOL. Visual and refractive outcomes, biometric changes, and complications including retinal detatchment, dislocation or tilt of PIOL, iris capture of PIOL were compared between two groups in the mean follow-up of 29 months.
Iris capture or dislocation of PIOL in G1 (14.3%, 20%) was more frequent than in G2(0%, 4.2%), which did not show a statistical significance. There is no difference in postoperative vitreous hemorrhage. G1 showed more diminished endothelial cell density or increased intraocular pressure than G2, which was insignificant. There is no difference of best-corrected visual acuity between two groups. Discrepancy of final refractive error from the target refractive error was -0.88 and -0.57 diopter in G1 and G2, respectively
Ciliary body localization in transcleral fixation of PIOL tend to be a safe and effective procedure as an alternative option compared with ciliary sulcus localization.
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