Journal of the Korean Ophthalmological Society 1990;31(2):176-184.
Published online January 1, 2001.
Clinical Evaluation of Posterior Chamber Intraocular lens Implantation in thee Eye Without Poosterior Capsular Support.
Hye Wook Jeong, Hong Ki Kim, Chan Ju Lee, Byung Chae Cho
1Keon Yang Medical Foundation, Kim's Eye Clinics, Seoul, Korea.
2Department of Ophthalmology, College of Medicine, Kun Kook University, Chung Ju, Korea.
3Department of Ophthalmoiogy, College of Medicine, Ewha Womans University, Seoul, Korea.
봉합사를 이용한 후방인공수정체 삽입술에 대한 임상적 고찰
Abstract
The use of a secondary intraocular lens is the best method for the management of spectacle-and contact lenses-intolerant aphakic eye. Because of the high incidence and the great variety of complications associated with anterior chamber lenses, a sulcus-fixed posterior chamber lens is more desirable than an anterior chamber lens. Therefore we have performed newly developed surgical techniques using 25-gauge needle for implanting a posterior chamber lens in the eye without posterior capsular support by securing haptic of the posterior chamber lens to the sclera at the ciliary sulcus with 9~0 prolene suture. These techniques have been sucessfully performed and have produced considerable visual improvement in thirteen aphakic eyes, two patients who had dislocated lens, and two pseudophakic patients who had sun-set syndrome. Eighty-eight percent of the 17 eyes had a postoperative visual acuity of 20/30 or better. The complications in three eyes were transient hyphema, transient vitreitis and exudate in lens surface, and pupillary capture. We have not yet experienced in our series any serious complication, such as lens dislocation, cystoid macular edema, retinal detachment, 2ndary glaucoma, endophthalmitis, and corneal decompensation, but long term follow up and more experience are necessary to establish the safety.
Key Words: Anterior Chamber Lens;Ciliary Sulcus;Posterior Capsular Support;Posterior Chamber Lens;Prolene Suture


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