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Implantation of Posterior Chamber Lens in the Absence of Capsular and Zonular Support

Implantation of Posterior Chamber Lens in the Absence of Capsular and Zonular Support Abstract • We have developed surgical techniques for implanting a posterior chamber lens in the absence of capsular and zonular support by securing both haptics of the posterior chamber lens to the sclera at the ciliary sulcus with 10-0 prolene suture. These techniques have been successfully performed and have produced good visual results in six monocularly aphakic patients who had contact lens intolerance and/or contraindications to anterior chamber lens implantations. In consideration of the high incidence and the great variety of complications associated with anterior chamber lenses, these newly developed surgical techniques will be a useful alternative to anterior chamber lenses, even in patients who do not have definite contraindications to anterior chamber lens implantations. References 1. Binkhorst CD: Corneal and retinal complications after cataract extraction: The mechanical aspect of endophthalmodonesis . Ophthalmology 1980;87:609-617.Crossref 2. Smith PW, Wong SK, Stark WJ, et al: Complications of semiflexible, closed-looped anterior chamber intraocular lenses . Arch Ophthalmol 1987;105:52-57.Crossref 3. Downing JE, Parrish CM: Long-term results with Choyce-Tennant anterior chamber intraocular lens implants . J Cataract Refract Surg 1986;12:493-498.Crossref 4. Shin DH: Repair of sector iris coloboma: Closed-chamber technique . Arch Ophthalmol 1982;100:460-461.Crossref 5. Sivak JG, Kreuzer RO, Hildebrand T: Intraocular lenses, tilt and astigmatism . Ophthalmic Res 1985;17:54-59.Crossref 6. Kaufman HE: The correction of aphakia . Am J Ophthalmol 1980:89:1-10. 7. McDonald MB, Koenig SB, Safir A, et al: Epikeratophakia: The surgical correction of aphakia: Update: 1982 . Ophthalmology 1983;90:668-672.Crossref 8. Wong SK, Stark WJ, Gottsch JD, et al: Use of posterior chamber lenses in pseudophakic bullous keratopathy . Arch Ophthalmol 1987;105:856-857.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Implantation of Posterior Chamber Lens in the Absence of Capsular and Zonular Support

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060130442039
Publisher site
See Article on Publisher Site

Abstract

Abstract • We have developed surgical techniques for implanting a posterior chamber lens in the absence of capsular and zonular support by securing both haptics of the posterior chamber lens to the sclera at the ciliary sulcus with 10-0 prolene suture. These techniques have been successfully performed and have produced good visual results in six monocularly aphakic patients who had contact lens intolerance and/or contraindications to anterior chamber lens implantations. In consideration of the high incidence and the great variety of complications associated with anterior chamber lenses, these newly developed surgical techniques will be a useful alternative to anterior chamber lenses, even in patients who do not have definite contraindications to anterior chamber lens implantations. References 1. Binkhorst CD: Corneal and retinal complications after cataract extraction: The mechanical aspect of endophthalmodonesis . Ophthalmology 1980;87:609-617.Crossref 2. Smith PW, Wong SK, Stark WJ, et al: Complications of semiflexible, closed-looped anterior chamber intraocular lenses . Arch Ophthalmol 1987;105:52-57.Crossref 3. Downing JE, Parrish CM: Long-term results with Choyce-Tennant anterior chamber intraocular lens implants . J Cataract Refract Surg 1986;12:493-498.Crossref 4. Shin DH: Repair of sector iris coloboma: Closed-chamber technique . Arch Ophthalmol 1982;100:460-461.Crossref 5. Sivak JG, Kreuzer RO, Hildebrand T: Intraocular lenses, tilt and astigmatism . Ophthalmic Res 1985;17:54-59.Crossref 6. Kaufman HE: The correction of aphakia . Am J Ophthalmol 1980:89:1-10. 7. McDonald MB, Koenig SB, Safir A, et al: Epikeratophakia: The surgical correction of aphakia: Update: 1982 . Ophthalmology 1983;90:668-672.Crossref 8. Wong SK, Stark WJ, Gottsch JD, et al: Use of posterior chamber lenses in pseudophakic bullous keratopathy . Arch Ophthalmol 1987;105:856-857.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1988

References