Year : 2001 | Volume
: 49 | Issue : 2 | Page : 109--113
Scleral suspension pars-plana lensectomy for ectopia lentis followed by suture fixation of intraocular lens
Sandip Mitra, Anuradha Ganesh
Department of Ophthalmology, Sultan Qaboos University Hospital, Oman
Purpose: To describe a simple technique of scleral suspension-pars plana lensectomy (SS-PPL) in acquired and congenital ectopia lentis and scleral fixation of intraocular lens (IOL).
Materials and Methods: Twenty eyes of 16 patients (12 unilateral and 4 bilateral cases of «DQ»essential familial lens subluxation«DQ») aged 10-40 years (mean 25 years) underwent SS-PPL with implantation of scleral fixated IOL. Indications for surgery were best-corrected visual acuity <6/18, bisection of pupil by the lens, and lens-induced glaucoma. Prerequisites for SS-PPL were, visibility of part of the lens in the pupillary area and soft lens.
Results: Postoperative visual acuity ranged from 6/6 - 6/36. Lens tilt in 3 cases(15%) and small decentration in 2 cases(10%) were seen; however these did not seriously compromise the visual result. Scant vitreous bleeding on the first postoperative day was seen in 3 cases (15%).
Conclusion: The advantages of the scleral suspension of subluxated lens prior to lensectomy include stabilization; it allows proper viewing of the lens, avoids injury to the iris and cliary body during lensectomy and reduces the possibility of dislocation of the lens.
Dept. of Ophthalmology, P.O.Box 38, SQUH Alkhod, Muscat zip 123
|How to cite this article:|
Mitra S, Ganesh A. Scleral suspension pars-plana lensectomy for ectopia lentis followed by suture fixation of intraocular lens.Indian J Ophthalmol 2001;49:109-113
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Mitra S, Ganesh A. Scleral suspension pars-plana lensectomy for ectopia lentis followed by suture fixation of intraocular lens. Indian J Ophthalmol [serial online] 2001 [cited 2020 Apr 10 ];49:109-113
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2001;volume=49;issue=2;spage=109;epage=113;aulast=Mitra;type=0