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P. Mehta, N. Ahmed, L. Fiona, G. Amit, J. Chan; Outcome of Sulcus Fixated Intraocular Lens Implant Following Complicated Phacoemulsification Surgery and Anterior Vitrectomy . Invest. Ophthalmol. Vis. Sci. 2005;46(13):764.
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Purpose:To assess the visual outcome and complication rates in patients who had vitreous loss during routine phacoemulsification cataract surgery and underwent anterior vitrectomy followed by a sulcus fixated intraocular lens (IOL) implant. Methods: This was a retrospective study conducted over a period of three years between Jan’01 to Dec’03 in one institute. Patients with dropped nucleus, and other types of IOL implantation were excluded from the study. 82 eyes of 82 patients who had posterior capsular rupture during phacoemulsification cataract surgery for senile cataract and underwent anterior vitrectomy and primary (single stage) or secondary (two stage) sulcus fixated IOL implantation were included in this study. Results: 79 eyes of 79 patients had a primary sulcus fixated IOL, while 3 eyes of 3 patients had a secondary sulcus fixated IOL. Post operative follow up ranged from 6 to 32 months. 38 eyes (48 %) had 55 early complications within one month of surgery and 18 eyes (23%) had 22 late complications after one month in the primary group. In the secondary group, all 3 eyes (100 %) had 3 early complications and none developed late complications. 70 eyes (88.6 %) in the primary group and 2 eyes (67 %) in the secondary group achieved a final visual acuity of 6/12 or better. Conclusions: Sulcus fixated IOL implantation following complicated cataract surgery with posterior capsular rupture and anterior vitrectomy, whether performed at the time of surgery or as a secondary procedure provides good final visual outcome despite early and late complications.
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