Authors: Shubha Ghonsikar Jhavar, Varsha Nandedkar, Suraj Kuril, Tapan Jakkal
Context: Scleral fixation of IOL is the procedure of implanting a posterior chamber IOL in the sulcus in absence of posterior capsular support as in prior cataract extraction or Aphakia, Traumatic cataract, subluxation/dislocation of natural lens. Aims: To study the outcome of 68 Aphakic eyes which underwent Sutured Scleral Fixation of IOLs. Results in terms of Intraoperative difficulties, Postoperative complications and Visual recovery were noted. Settings and Design: Prospective Interventional Study. Materials and Methods : 68 eyes of 68 patients were subjected to Sutured Scleral fixation of Posterior chamber IOL surgery in Dept. of Ophthalmology in a tertiary Government teaching institute, either primary or as secondary surgery. Good Best Corrected Visual Acuity and a quiet eye with no fundus abnormality were the prerequisites. Two point fixation was done using 10-0 Prolene straight needle suture by a single surgeon. Results: Intraoperative difficulties encountered were Hypotony, hyphaema, and suture entangling. Postoperative complications like Hyphaema and Iritis were seen. Postoperative Best Corrected Visual Acuity in 92% cases was 6/6 to 6/18. No special IOL or instruments were required in this technique. Conclusions: Sutured Scleral fixation is the best option for Aphakic patients without capsular support in the hands of a careful surgeon. Keywords: Scleral Fixated IOLs, Aphakia.
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