Modified Technique of Four Point Scleral Sutured Posterior Chamber Intraocular Lens Without Scleral Flaps

Abstract

Purpose: To report the visual outcome, safety and complication profile of four point scleral sutured posterior chamber intraocular lens without sclera flaps.

Material and Methods: This prospective interventional study comprised 21 eyes of 21 aphakic patients who were admitted in Ophthalmology ward of Jinnah Hospital Lahore from April 2010 to August 2011 for secondary intraocular lens implantation using four point scleral fixation technique. Three follow up visits were scheduled starting at 1st post operative day, 1st and 5th post operative months.

Results: Twenty one eyes of 21 patients, 12 male and 9 female, underwent four point scleral fixation of posterior chamber intraocular lens with custom modification in intraocular lens design. At 5th month follow up, 18 patients had Best Corrected Visual Acuity of 6/12 or better. Two patients had cystoid macular edema and one had tilted intraocular lens. No patient had any sign of suture erosion, elevated intraocular pressure or intraoperative bleeding.

Conclusion: Four point scleral fixation without scleral flaps is a safe technique of intraocular lens implantation in aphakic patients.