Sulcus Transscleral Intraocular Lens Suture Fixation through Small Scleral Tunnel Incision

Purpose: To evaluate the clinical efficacy and safety of sulcus transscleral intraocular lens suture fixation with small incision through scleral tunnel in eyes the with posterior capsule defect or insufficient zonula support.Methods: Thirty nine eyes with severe posterior capsule defect and zonula damages caused by small-incision cataract surgery, and those with capsule absence or intraocular lens dislocation were selected in this investigation from February 2007 to December 2009. Sulcus transscleral intraocular lens suture combined with puncture needle-guided external approach and “one- or two-point fixation” method in the small sclera tunnel incision were employed.Results: The mean follow-up was 12.1 months (range from 3 to 28 months). Six eyes were complicated by some eye diseases postoperatively. The best-corrected visual acuity was 20/40 or better in other 34 eyes (87.17％). All eyes with secondary IOL fixation presented equal or better naked visual acuity than best-corrected visual acuity best-corrected preoperatively. No intraoperative and postoperative complications such as hemorrhage, retinal detachment, inuaocular lens tilt and decentration occurred.Conclusion: Sulcus transscleral intraocular lens suture fixation via small sclera tunnel incision was easy to operate and master, required less operative time, and made primary intraocular lens fixation more effective in eyes with posterior capsule defect or insufficient zonula support in small sclera tunnel incision surgery. In addition, the technique was safe and effcacious for secondary intraocular lens fixation.