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Complications after intrascleral posterior chamber intraocular lens fixation Yoshihiko Ninomiya 1 , Yoshinao Kojima 1 1Dept of Ophthalmol, Yukioka Hosp pp.707-711
Published Date 2014/5/15
DOI https://doi.org/10.11477/mf.1410105234
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Abstract. Objective:To describe the postoperative complications and modifications of the techniques for intrascleral posterior chamber intraocular lens(IOL)fixation. Methods:This study reviewed the records of early five cases that had intrascleral IOL fixation. Preoperative lens status was aphakic in two eyes and dislocated IOL in three eyes. For surgical techniques, we first employed the original techniques invented by Gabor, and later modified the Y-fixation technique developed by Ohta. Results:The postoperative complications were IOL dislocation(1 eye), hypotony(1 eye);both of which cases were reoperated successfully with conventional scleral suture fixation, and ocular hypertension(1 eye of pseudoexfoliation syndrome;trabeculectomy was later performed as treatment). In a hypotony case, optical coherence tomography revealed that choroidal detachment was induced by haptic mispositioned in suprachoroidal space. Conclusions:A technique for intrascleral IOL fixation has a learning curve and its outcome is vulnerable to background ocular conditions. Modifications of the techniques, selection of IOL, and treatments for complications are keys to successful outcome.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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