Sutured Posterior Chamber Intraocular Lens (SPCIOL) Implantation Through a Small Clear Corneal Insicion

Abstract

Abstract: : Purpose:To describe a surgical technique and evaluate clinical outcomes of SPCIOLs through a small clear corneal incision. Methods :Retrospective review of 18 patients (18 eyes) that underwent SPCIOL through a small (3 mm) clear corneal incision from August 2001 to November 2002. A three-port pars plana vitrectomy with or without lensectomy was performed; scleral flaps were made at 3 and 9 o’clock. A straight double-ended 10-0 polypropylene needle was introduced into the vitreous cavity underneath a scleral flap and passed out of the eye under the opposite scleral flap. Next, the suture was externalized through a small clear corneal incision at 12 o’clock and the haptics of one-piece acrylic IOL (SA60) were tied. The IOL was folded and fixated to the sclera. Results:Preoperative diagnosis consisted of surgical aphakia 9 eyes (50%), dislocated lens 7 eyes (39%), dislocated IOL 1 eye (5.5%) and opacified IOL 1 eye (5.5%). Preoperatively visual acuity was worse than 20/40 in 12 eyes (67%). Follow-up ranged from 1 month to 14 months (average 4 months). Visual acuity improved or remained stable in 15 eyes (83%), it was better than 20/40 in 10 eyes (56%). Postoperative complications were chronic endophthalmitis with hyphema 1 eye (5.5%) and cystoid macular edema 1 eye (5.5%). Conclusions:SPCIOL through a small clear corneal incision provided adequate visual outcome in most patients. One-piece foldable acrylic IOL can be considered as an alternative for ciliary sulcus fixation.

Keywords: small incision cataract surgery • retina • sclera