May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Long-Term Outcomes of Scleral Sutured Posterior Chamber Lens Implantation versus Anterior Chamber Intraocular Lens Implantation for Aphakia
R. P. Singh; C. Sonnie; D. Moshfeghi; P. K. Kaiser; J. E. Sears
Author Affiliations & Notes
  • R. P. Singh
    Ophthalmology, Cole Eye Institute, Cleveland, Ohio
  • C. Sonnie
    Ophthalmology, Cole Eye Institute, Cleveland, Ohio
  • D. Moshfeghi
    Ophthalmology, Cole Eye Institute, Cleveland, Ohio
  • P. K. Kaiser
    Ophthalmology, Cole Eye Institute, Cleveland, Ohio
  • J. E. Sears
    Ophthalmology, Cole Eye Institute, Cleveland, Ohio
  • Footnotes
    Commercial Relationships  R.P. Singh, None; C. Sonnie, None; D. Moshfeghi, None; P.K. Kaiser, None; J.E. Sears, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 5991. doi:
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      R. P. Singh, C. Sonnie, D. Moshfeghi, P. K. Kaiser, J. E. Sears; Long-Term Outcomes of Scleral Sutured Posterior Chamber Lens Implantation versus Anterior Chamber Intraocular Lens Implantation for Aphakia. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5991.

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Abstract

Purpose: : To compare the long-term safety and efficacy outcomes of scleral sutured posterior chamber lens implantations (SSIOL) versus anterior chamber lens (ACIOL) implantation.

Methods: : A comparative, retrospective evaluation was performed and patients were selected who underwent SSIOL or ACIOL from 1998-2004 for various indications with a minimum of 3 years follow-up. All cases had either a CZ70BD lens (Alcon) or a MTA3UO (Alcon) lens implanted.

Results: : A total of 53 eyes of 48 patients with SSIOL and 50 eyes of 49 patients with ACIOL implantation had appropriate follow-up and documentation. The average age of study subjects was 52 years (+/- 17.70) and the mean duration of follow-up was 69.3 months (+/- 18.45 months). The indications for surgery included cataract surgery complications (48.6%), traumatic zonular dehiscence (17.1%), vitreoretinal surgery rendered aphakia (8.6%), non-traumatic zonular dehiscence (8.5%), congenital dislocation (5.7%). Preoperative LogMar acuity for SSIOL was 0.42 and postoperative LogMar acuity was 0.33 (P=0.74). Preoperative LogMar acuity for ACIOL was 0.43 and posteroperative LogMar acuity was 0.36 (p=0.981). Postoperative spherical equivalent in the SSIOL group and ACIOL group were -1.19D (+/- 2.10) and -0.58 (+/- 0.99), respectively (p=0.232). Cylindrical astigmatism in the SIOL group changed from 0.87D (+/-1.10D) preoperatively to 1.63D (+/- 1.75D) postoperatively (p=0.623). There was no statistical significance between the astigmatism seen in the ACIOL and SSIOL groups (p=0.056). Complications included: transient vitreous hemorrhage (11.4%), epiretinal membrane formation (5.7%), high astigmatism (8.6%), dislocation of lens due to suture dehiscence (2.8%), cystoid edema (5.7%), and the development of glaucoma (2.8%).

Conclusions: : SSIOL had equivalent efficacy outcomes to ACIOL cases and exhibited a low side effect profile with long term follow-up and should be considered in patients unsuitable for ACIOL implantation.

Keywords: intraocular lens • vitreoretinal surgery • anterior segment 
© 2008, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2015 Association for Research in Vision and Ophthalmology.
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