COMPARISON OF VISUAL OUTCOME AND COMPLICATIONS IN TWO DIFFERENT TECHNIQUES OF SCLERAL FIXATED INTRAOCULAR LENS IMPLANTATION
Dr Mohana Majumdar*
ABSTRACT
Aim: To compare the visual outcome and complications in scleral fixated intraocular lens implantation by using ab
externo two point fixation technique and true knotless technique. Setting: Eye department, NKP Salve Institute of
Medical Sciences and Lata Mangeshkar Hospital. Design: Retrospective, comparative study. Methods: A
consecutive series of 40 scleral fixated intraocular lens(IOL) surgeries using ab externo two point fixation
technique and true knotless technique from July 1, 2014 to December 31, 2015 was analyzed. Main outcome
measures included the best corrected visual acuity (BCVA) and post-operative complications. Results: There were
19 eyes in the ab externo two point fixation group and 21 eyes in the true knotless group. At last follow up (5
months), there was no statistically significant difference in the BCVA of the two techniques. Complications like
IOL tilt (p= 0.13) and raised IOP (p=0.51) were also comparable in both the techniques. Conclusion: The visual
outcomes in eyes that underwent ab externo two point fixation technique and true
Keywords: aphakia, scleral fixation, true knotless technique, complication.
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