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[Injector implantation of a scleral-fixated intraocular lens]
P Szurman1, K Petermeier, G B Jaissle
1Universitäts-Augenklinik Tübingen, Schleichstrasse 12, 72076 Tübingen. Peter.Szurman@med.uni-tuebingen.de
Background:
In this pilot study, a new injector technique for small-incision implantation of scleral-fixated intraocular lenses (IOLs) was evaluated for IOL stability and visual rehabilitation.
Patients And Methods:
Secondary lens implantation was performed in 18 aphakic eyes using a new small incision technique with injector implantation. This allowed for haptic suturing with the lens body inside the cartridge. All patients were followed-up for best-corrected visual acuity, refraction, IOL evaluation and ultrasound biomicroscopy.
Results:
In all eyes the IOL was stable without tilt or torque. Best-corrected visual acuity improved 2.2 ETDRS lines after 1 week and 3.1 lines after a mean follow-up time of 7.9+/-2.8 months. Two eyes were complicated with small, peripheral transillumination defects (n=2), but no pigmentary glaucoma occurred.
Conclusion:
By using a self-sealing tunnel incision and injector technique, significant fluid egress and consecutive transient hypotony is minimized throughout the whole procedure. The technique shows a high IOL stability without tilt and assures rapid visual rehabilitation.
