Mir Ali Shah, Bilal Khan, Bilal Bashir, Sher Akbar Khan, Mohd Jawad, Muhammad Idris.
Visual Outcome & Complications of Scleral-fixation Posterior Chamber Intraocular Lenses.
Ophthalmol Update Jan ;13(2):75-8.

Purpose: To determine the visual outcome and complications of posterior chamber scleral fixation intraocular lenses (PCSF IOL). Material and Methods: This retrospective study was carried out in the Department of Ophthalmology, Lady Reading Hospital, Peshawar from July 2011 to July 2013. A total of 17 patients were included in the study. Details of the patients like age, gender, pre- and postoperative best spectacle corrected visual acuity (BSCVA), indication for surgery and detailed slit-lamp and fundus examination were recorded on a designed proforma. The main outcome measures were postoperative visual acuity (VA) and complications. Patients were followed for one year regarding vision and any complications. All the data was entered and analyzed using SPSS version17. The data was expressed in the form of tables and charts. Results: A total of 17 eyes of 17 patients were included in this study. 14(82.35%) were males and 3(17.65%) were females with a male to female ratio 4.6:1. The age ranged from 4 to 15 years and were followed over a period of one year after placement of posterior chamber scleral fixation intraocular lenses (PC SF-IOL).14 (82.35%) of the eyes had a gain in VA from CF to 6/9 while 3(17.65%) had no change in the VA. Postoperative complications were observed in 5(29.40%) and included IOL dislocation in one case(5.88%), exposed suture with pyogenic granuloma in 2(11.76%), increased IOP in 1 case (5.88%). and iris capture in 1(5.88%) eye. Conclusion: Posterior chamber scleral fixation IOL appear to be a safe technique with minimal complications when there is no capsular support.

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