Outcome of transscleral sulcus fixation of intraocular lens

Mutsuko Kato, Tadashi Nakayama, Mio Hosokawa, Yumi Kumase, Mayumi Takabatake, Yumiko Teraishi

Research output: Contribution to journalArticle

Abstract

Purpose: To report the outcome of transscleral sulcus fixation of intraocular lens (IOL). Cases: This review was made on 3,055 eyes that received cataract surgery during the past 52 months. Luxation of the lens developed in 35 eyes (1.1%). Sulcus fixation of IOL was made on 19 eyes of 17 cases. The underlying cases included pseudoexfoliation syndrome 7 eyes, iatrogenic factors 5 eyes, trauma 3 eyes, atopic dermatitis 2 eyes and Marfan syndrome 2 eyes. Results: All the eyes showed good visual acuity after an average of 26 months. Surgically induced astigmatism averaged 1.38 diopters in 7 eyes after sclerocorneal incision of 7 to 12 mm and 0.65 diopters after 3 to 4 mm. The difference was significant (p=0.047). Corneal endothelial cells decreased by an average of 11.8%. The decrease averaged 17.7% in the initial 10 eyes and 5.2% in the latter 9 eyes. The difference was significant (p= 0.029). Iris capture occurred in 4 out of initial 13 eyes (31%). The latter 6 eyes received prophylactic peripheral iridectomy. Iris capture recurred in one of the 6 eyes. Conclusion: Sclerocorneal incision resulted in decreased surgically induced astigmatism in sulcus fixation of IOL. Peripheral iridectomy was effective in preventing iris capture.

Original languageEnglish
Pages (from-to)503-509
Number of pages7
JournalJapanese Journal of Clinical Ophthalmology
Volume67
Issue number4
Publication statusPublished - Apr 2013
Externally publishedYes

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Intraocular Lenses
Iris
Iridectomy
Astigmatism
Exfoliation Syndrome
Cataract
Lenses
Visual Acuity

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Kato, M., Nakayama, T., Hosokawa, M., Kumase, Y., Takabatake, M., & Teraishi, Y. (2013). Outcome of transscleral sulcus fixation of intraocular lens. Japanese Journal of Clinical Ophthalmology, 67(4), 503-509.

Outcome of transscleral sulcus fixation of intraocular lens. / Kato, Mutsuko; Nakayama, Tadashi; Hosokawa, Mio; Kumase, Yumi; Takabatake, Mayumi; Teraishi, Yumiko.

In: Japanese Journal of Clinical Ophthalmology, Vol. 67, No. 4, 04.2013, p. 503-509.

Research output: Contribution to journalArticle

Kato, M, Nakayama, T, Hosokawa, M, Kumase, Y, Takabatake, M & Teraishi, Y 2013, 'Outcome of transscleral sulcus fixation of intraocular lens', Japanese Journal of Clinical Ophthalmology, vol. 67, no. 4, pp. 503-509.
Kato M, Nakayama T, Hosokawa M, Kumase Y, Takabatake M, Teraishi Y. Outcome of transscleral sulcus fixation of intraocular lens. Japanese Journal of Clinical Ophthalmology. 2013 Apr;67(4):503-509.
Kato, Mutsuko ; Nakayama, Tadashi ; Hosokawa, Mio ; Kumase, Yumi ; Takabatake, Mayumi ; Teraishi, Yumiko. / Outcome of transscleral sulcus fixation of intraocular lens. In: Japanese Journal of Clinical Ophthalmology. 2013 ; Vol. 67, No. 4. pp. 503-509.
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