Transscleral suture fixation of posterior-chamber lenses after XXXX extraction associated with @entity393 .

@entity1 @entity231 @entity1713 @entity1103 @entity86 @entity393
From 1987 to 1993, 21 @entity1 who had undergone complicated @entity231 extraction that was associated with @entity393 and transscleral suture fixation of the posterior-chamber lens (PC-IOL) in one eye (group A) and uncomplicated in-the-bag implantation of the PC-IOL in the fellow eye (group B) were followed prospectively. The follow-up period was 29.5 months (SD, +/- 17.0 months) in group A and 36.6 months (+/- 24.0 months) in group B. Visual acuity did not differ significantly between the two groups (P = 0.60, Wilcoxon test). In all, 17/21 @entity1 in group A and 16/21 @entity1 in group B achieved a visual acuity of > or = 20/40. @entity86 measured in group A were +0.68 D more hyperopic than those measured in group B (P < 0.04). This result was consistent with the postoperative finding of a significantly deeper anterior chamber in group A (mean, 0.44 mm; P < 0.03). The accuracy of the desired postoperative refraction was poorer in group A. The risk for @entity1713 , @entity1103 , and intraocular pressure elevation was increased in @entity1 who had had capsular defects and @entity393 during @entity231 extraction. Nevertheless, transscleral suture fixation of PC-IOLs in @entity1 with complicated @entity231 extractions associated with @entity393 can give acceptable visual results. We recommend that +0.5 D be added to the calculated IOL power when severe complications require transscleral suture fixation of the PC-IOL during @entity231 extraction.
