Visual outcome of scleral fixation of posterior chamber intraocular lens in eyes with inadequate capsular support

ABSTRACT

To evaluate visual outcome and complications of scleral fixation of posterior chamber intraocular lens [SF-IOL] in eyes with inadequate capsular support. This is a prospective case series which consists of eighteen eyes of 13 patients. These were divided into group A having traumatic subluxation of lens or inadequate posterior capsular support and group B with idiopathic, familial and syndromic ectopia lentis having zonular weakness more than 180[degree]. Lensectomy and SF-IOL was performed. Best corrected visual acuity [BCVA], intraocular pressure [IOP], intraocular lens [IOL] positioning, anterior and posterior segment examination was performed on every follow up visit. Mean age was 15.05 +/- 8.99 years. Mean follow up was 18.88 months +/- 15.07. Mean preoperative logMAR BCVA in 18 eyes was 0.93 +/- 0.76 and mean postoperative log MAR BCVA was 0.41 +/- 0.24[p=0.01]. Mean postoperative logMAR BCVA in group A was 0.27 +/- 0.27 and group B was 0.48 +/- 0.20. Twelve eyes [66.7%] did not show complications. Fourteen eyes [77.8%] did not require second surgery after SF-IOL. SF-IOL is a safe procedure in eyes with inadequate posterior capsular support and ectopia lentis with more than 180[degree] of zonular weakness.