Evaluation of a Modified Sutureless Technique for Scleral Fixation of One-Piece Posterior Chamber Intraocular Lens: A Retrospective Study
Alireza Attar1 *
- Poostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract: This study presents the one-year outcomes of a modified technique for transscleral suture fixation of a posterior chamber intraocular lens (PCIOL) in aphakic eyes.
Methods: A retrospective chart review was conducted on 45 patients who underwent transscleral suture fixation of a foldable one-piece PCIOL through scleral pockets. Preoperative data and follow-up data for a minimum of 12 months were collected for all patients.
Results: The mean preoperative and postoperative uncorrected distance visual acuity (UDVA) in LogMAR was 0.54±0.25 and 2.49±0.54, respectively (P<0.01). The mean preoperative and postoperative best-corrected visual acuity (BCVA) in LogMAR was 0.45±0.24 and 0.52±0.22, respectively (P<0.01). The mean endothelial cell loss was 110.46±11.5 cells/mm². Postoperative complications included transient corneal edema (17.7%), transient elevated intraocular pressure (22.2%), and non-significant vitreous hemorrhage (11.1%). No severe complications were observed.
Conclusion: The modified technique provides stable PCIOL placement in aphakic eyes with long-term follow-up.
