Clinical observation of ciliary sulcus fixation of posterior chamber intraocular lens in aphakic eyes

Abstract

AIM: To explore the clinical efficacy of ciliary sulcus fixation of posterior chamber intraocular lens(IOL)in aphakic eyes with inadequate capsule support. METHODS: A retrospective review of medical records of 38 eyes of 38 patients who were underwent ciliary sulcus fixation of posterior chamber IOL from 2015 to 2018 were analyzed for the intraoperative and postoperative complications, intraocular pressure and position of intraocular lens. Also, the preoperative and postoperative visual acuity and refractive status were compared respectively. The follow-up time was 3mo after surgery. RESULTS:The intraoperative hyphema occurred in 6 eyes(16%)postoperative hypotony in 4 eyes(11%)transient high intraocular pressure in 11 eyes(29%), yet all were cured by treatment. Four eyes(11%)with obvious tilt of intraocular lens were observed. All the cases were an visual improvement according to the last postoperative follow-up(PP>0.05).CONCLUSION: The ciliary sulcus fixation of posterior chamber IOL is a safe and effective way to treat the aphakic eyes, but the possible complications should be attentional.

Keywords

• aphakic eyes
• intraocular lens
• ciliary sulcus suture fixation
• postoperative complications