Please use this identifier to cite or link to this item: http://imsear.hellis.org/handle/123456789/71829
Title: Scleral suspension pars-plana lensectomy for ectopia lentis followed by suture fixation of intraocular lens.
Authors: Mitra, S
Ganesh, A
Issue Date: 12-Jun-2001
Citation: Mitra S, Ganesh A. Scleral suspension pars-plana lensectomy for ectopia lentis followed by suture fixation of intraocular lens. Indian Journal of Ophthalmology. 2001 Jun; 49(2): 109-13
Abstract: 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 "essential familial lens subluxation") 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 ciliary body during lensectomy and reduces the possibility of dislocation of the lens.
URI: http://imsear.hellis.org/handle/123456789/71829
Appears in Collections:Indian Journal of Ophthalmology

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