Comparison of Three Different Intraocular Lens Implantation Method for Eyes with Deficient Capsular Support
Turkish Journal of Clinical and Experimental Ophthalmology, cilt.16, sa.2, ss.74-83, 2021 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 2
- Basım Tarihi: 2021
- Doi Numarası: 10.37844/glauc.cat.2021.16.13
- Dergi Adı: Turkish Journal of Clinical and Experimental Ophthalmology
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.74-83
- Anahtar Kelimeler: Anterior chamber lens, Aphakia, Capsular support, Iris-claw lens, Scleral fixated lens
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: The aim of this study was to compare three different intraocular lens (IOL) implantation methods performed primary or secondary in eyes with deficient capsular support. Materials and Methods: The records of patients who underwent IOL implantation due to deficient capsular support were analyzed. The patients were first separated into primary and secondary IOL implantation group (PIG and SIG, respectively), then divided into three subgroups among themselves as iris-claw IOL (IC-IOL), scleral fixated IOL (SF-IOL), and anterior chamber IOL (AC-IOL). Data were compared according to the groups. Results: The most important cause of IOL implantation was perioperative capsule rupture and insufficient capsular support (61.7%, n=29) in PIG, aphakia (55.8%, n=24) in SIG. The most preoperative comorbid condition was iridodonesis (30.4%, n=14) in PIG and IOL subluxation (93.8%, n=15) in SIG. The mean BCVA in the 3rd months was significantly better in the IC-IOL subgroup than AC-IOL subgroups (p=0.001) in PIG. The mean BCVA at the last follow-up was significantly better in the SF-IOL group than the AC-IOL group (p<0.001) in PIG. Postoperative complication rate was 38.3% in PIG and 27.9% in SIG. There was no significant difference among subgroups in postoperative complications in both groups (p>0.05, Chi-square test). Conclusion: All three methods have advantages and disadvantages. The surgeon should consider the patient’s condition when determining the implantation method to be chosen. Future long-term studies comparing the different methods with a large number of patients may provide more information about the most appropriate method to use in eyes with insufficient capsular support.