Safety and Visual Outcome of Scleral Sutured Posterior Chamber Intraocular Lenses (SS-PCIOL)

Abstract

Purpose: The aim of this study was to determine the safety and visual outcome of scleral sutured fixation of posterior chamber intraocular lenses.

Material and Methods: This prospective and interventional study was conducted from April 2010 to April 2011 in the department of Ophthalmology Hayatabad Medical Complex Peshawar. Thirteen eyes of 13 subjects were enrolled for scleral sutured posterior chamber intraocular lens. There were three follow up visits at 1st post op day, at two months and at six months.

Results: A total of 13 eyes underwent scleral sutured posterior chamber intraocular lens. There were 10 male and 3 female patients. All patients had completed their six months follow-up. After six months nine patients (69.23%) out of 13 achieved 6/12 vision or better. Three patients did not come for their follow-up visits and were excluded from the study. Two patients had bleeding intra operatively from the scleral suture site. Two patients had suture erosion, one patient had lens tilt due to vitreous tag postoperatively and one patient had cystoid macular edema.

Conclusion: The technique of scleral sutured posterior chamber intraocular lens insertion via the ab externo method with a thick scleral flap offers a low complication profile and should be considered as a viable option for secondary intraocular lens.