Comparison of outcomes of primary and secondary implantation of scleral fixated posterior chamber intraocular lens

Aim: To assess and compare the results of primary and secondary implantation of scleral fixated posterior chamber intraocular lens (SFIOL). Methods: The medical records of a consecutive series of 55 eyes of 55 patients with SFIOLs implanted during (group 1) or after (group 2) complicated senile cata...

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Bibliographic Details
Published in:British journal of ophthalmology 2003-12, Vol.87 (12), p.1459-1462
Main Authors: Lee, V Y W, Yuen, H K L, Kwok, A K H
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aphakia, Postcataract - physiopathology
Aphakia, Postcataract - surgery
Biological and medical sciences
Cataract - physiopathology
Cataract Extraction
Cataracts
Chi-Square Distribution
Clinical Science - Scientific Reports
Eye surgery
Follow-Up Studies
Hospitals
Humans
implantation
intraocular lens
Lens Implantation, Intraocular - methods
Medical records
Medical sciences
Middle Aged
Postoperative Complications
Postoperative period
Retrospective Studies
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
Visual Acuity
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Summary:Aim: To assess and compare the results of primary and secondary implantation of scleral fixated posterior chamber intraocular lens (SFIOL). Methods: The medical records of a consecutive series of 55 eyes of 55 patients with SFIOLs implanted during (group 1) or after (group 2) complicated senile cataract surgery were retrospectively reviewed and analysed. Results: There were 30 and 25 eyes in group 1 and 2, respectively. Follow up was from 6 to 36 months. Mean logMAR postoperative best corrected visual acuity in group 1 was not significantly different (0.50 (SD 0.36)) from that of group 2 (0.36 (0.21)) (p = 0.109). Postoperative best corrected visual acuity of 6/12 or better was achieved in 58.6% and 76.0% in group 1 and 2, respectively. The difference was not statistically significant (p = 0.177). In group 1, 25 (83.3%) eyes had a total of 55 early complications, while in group 2, 16 (64%) eyes had 26 early complications (p = 0.028). The difference in early complication was statistically significant. For late complication after 1 month, 21 (70.0%) eyes had a total of 37 complications in group 1, while 13 eyes (52.0%) had 19 complications in group 2 (p = 0.077). The difference in late complication was not statistically significant. Conclusion: Secondary implantation of SFIOL after cataract extraction seems to have a lower early complication rate than primary implantation in complicated cataract extraction although the final visual acuity and late complication rate are not significantly different.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.87.12.1459