First Author: M.Awan PAKISTAN
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To present the outcome and safety of 25 gauge (G) sutureless scleral fixation of posterior chamber intraocular lens (PCIOL).
Tertiary care hospital
Retrospective, single hospital based interventional case series that included the eyes with inadequate or no capsular support. 25 G 3 ports pars plana vitrectomy (PPV) set up was made and anterior or posterior vitrectomy was performed. Two perpendicular sclerotomies and scleral pockets were made. Foldable three piece PCIOL (Alcon MA60AC) was inserted through the corneal incision. The haptics were exteriorized through the two sclerotomies with the help of 25 G forceps and haptics were buried in the scleral pockets.
Total number of the eyes was 14, subluxated lens (n = 6), complicated cataract surgery (n = 6) that led to inadequate capsular support and subluxated or dislocated IOL (n = 2). All patients had improvement in the vision that ranged from log MAR 0 (20/20) to 0.30 (20/40). There was no significant peroperative or postoperative complication except 1 eye that had IOL haptic broken during the procedure that required another PCIOL.
25 G sutureless scleral fixation of PCIOL is an excellent technique to achieve better visual outcome in the eyes with inadequate or absent capsular support.