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Experience with transscleral fixation of posterior chamber lenses

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Abstract

A total of 83 eyes with transsclerally sutured PCLs were followed for an average of 10.5 months (range 2–23 months). The vast majority of patients benefitted considerably from the procedure; 8% of cases experienced a reduction in visual acuity and 2% suffered monocular visual loss. General vascular risk factors seemed to be important in bringing about long-term complications. Patients presenting such a risk must be better identified in the future. The solution of some remaining surgical problems and questions will also add to the safety of the procedure in the future.

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References

  1. Ameye C, Sundmacher R (1989) Transsklerale Hinterkammerlinsenfixation — eine vielversprechende Methode für die Sekundärimplantation von Intraokularlinsen. Sitzungsbericht 151. Versammlung des Vereins Rheinland-Westfälischer Augenärzte, Munster, 23.4–24.4.89, pp 251–255

    Google Scholar 

  2. Apple DJ, Price FW, Gwin T, Imkamp E, Daun M, Casanova R, Hansen S, Carlson AN (1989) Sutured retropupillary posterior chamber intraocular lenses for exchange or secondary implantation. The 12th annual Binkhorst Lecture 1988. Ophthalmology 96:1241–1247

    Google Scholar 

  3. Busin M, Brauweiler P, Böker T, Spitznas M (1990) Complications of sulcus-supported intraocular lenses with iris sutures, implanted during penetrating keratoplasty after intracapsular cataract extraction. (Discussion: Meyer RF) Ophthalmology 97:401–406

    Google Scholar 

  4. Drews RC (1987) Posterior chamber lens implantation during keratoplasty without posterior lens capsule support. Cornea 6:380

    Google Scholar 

  5. Duffey RJ, Agapitos PJ, Holland EJ, et al. (1989) Intraocular mirror for transscleral fixation of implants and anterior segment reconstruction. Poster, American Academy of Ophthalmology, New Orleans

    Google Scholar 

  6. Girard LJ (1981) Pars plana phacoprosthesis. Ocular Surg 12:19–20

    Google Scholar 

  7. Grehn F (1989) Hinterkammerlinsenimplantation nach vorderer Vitrektomie mit Nahtfixation im Sulcus. In: Lang G, Ruprecht KW, Jakobi KW, Schott K (eds) 2. Kongreß der Deutschen Gesellschaft für Intraokularlinsen Implantation. Enke, Stuttgart, pp 125–129

    Google Scholar 

  8. Grehn F, Sundmacher R (1989) Fixation of posterior chamber lenses by transscleral sutures: technique and preliminary results. Arch Ophthalmol 107:954–955

    Google Scholar 

  9. Hall JR, Muenzler WS (1985) Intraocular lens replacement in pseudophakic bullous keratopathy. Trans Ophthalmol Soc UK 104:541–545

    Google Scholar 

  10. Hu BV, Shin DH, Gibbs KA, Hong YG (1988) Implantation of posterior chamber lens in the absence of capsular and zonular support. Arch Ophthalmol 106:416–420

    Google Scholar 

  11. Malbran ES, Malbran E Jr, Negri I (1986) Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction. Int Ophthalmol 9:151–160

    Google Scholar 

  12. Price FW Jr, Whitson WE (1989) Visual results of suture-fixated posterior chamber lenses during penetrating keratoplasty. Ophthalmology 96:1234–1240

    Google Scholar 

  13. Schnaudigel OE (1990) Anatomic des Sulcus ciliaris. Fortschr Ophthalmol 87:388–389

    Google Scholar 

  14. Shin DH (1990) Transscleral fixation of posterior chamber intraocular lenses in the absence of capsular support (letter). Ophthalmic Surg 21:376

    Google Scholar 

  15. Soong HK, Musch DC, Kowal V, Sugar A, Meyer RF (1989) Implantation of posterior chamber intraocular lenses in the absence of lens capsule during penetrating keratoplasty. Arch Ophthalmol 107:660–665

    Google Scholar 

  16. Spigelman AV, Lindstrom RL, Nichols BD, Lindquist TD, Lane SS (1988) Implantation of a posterior chamber lens without capsular support during penetrating keratoplasty or as a secondary lens implant. Ophthalmic Surg 19:396–398

    Google Scholar 

  17. Stark WJ, Goodman G, Goodman D, Gottsch G (1988) Posterior chamber intraocular lens implantation in the absence of posterior capsular support. Ophthalmic Surg 19:240–243

    Google Scholar 

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Authors and Affiliations

  1. Universitäts-Augenklinik, Moorenstrasse 5, W-4000, Düsseldorf 1, Germany

    Rainer Sundmacher, Christoph Althaus & Regina Wester

Authors
  1. Rainer Sundmacher
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  2. Christoph Althaus
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  3. Regina Wester
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Sundmacher, R., Althaus, C. & Wester, R. Experience with transscleral fixation of posterior chamber lenses. Graefe's Arch Clin Exp Ophthalmol 229, 512–516 (1991). https://doi.org/10.1007/BF00203312

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  • DOI: https://doi.org/10.1007/BF00203312

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