Clinical observation of a novel technique: transscleral suture fixation of a foldable 3-looped haptics one-piece posterior chamber intraocular lens implantation through scleral pockets with intact conjunctiva

摘要

To present the follow-up outcomes of a modified technique of transscleral suture fixation of posterior chamber intraocular lens (PCIOL) in eyes with inadequate capsule support. A retrospective chart review of 21 patients underwent transscleral suture fixation of a foldable 3-looped haptics one-piece PCIOL implantation through scleral pockets was conducted. Preoperative data and follow-up data for at least 3?months were collected for all patients. The mean operative duration was 36.62?±?10.70?min. The mean pre- and post-operative LogMAR uncorrected distance visual acuity was (1.25?±?0.50 vs. 0.41?±?0.22, P??0.01). The mean pre- and post-operative LogMAR best corrected visual acuity was (0.48?±?0.25 vs. 0.33?±?0.24, P??0.01). The mean proportion of postoperative endothelial cell loss was 11.46?±?4.78%. The mean postoperative anterior chamber depth was 3.05?±?0.44?mm. The mean postoperative IOL tilt degree was 2.81?±?1.41°, and the mean postoperative IOL decentration degree was 0.31?±?0.13?mm. Four patients with transient corneal edema (19.0%) and three patients with transiently elevated IOP (14.3%) were observed after operation, and such complications were resolved within 1?week. No severe complications were observed. The modified technique was a feasible method of PCIOL implantation.