One-haptic fixation of posterior chamber intraocular lenses without scleral flaps

Purpose. to assess visual results and complications of a modified technique of posterior chamber intraocular lenses (pc iols) in aphakic eyes without scleral flaps. methods. modified one-haptic scleral fixation was performed in one eye each of 25 patients with aphakia and insufficient capsule support. follow-up period was six months. outcome measures included best-corrected visual acuity,intraocular pressure (iop),and postoperative complications. results. the study included 15 males and 10 females. the preoperative best-corrected visual acuity (bcva) ranged from 5/60 to 6/9. the operation time ranged from 25 to 45 minutes (mean 35.25 ± 5.34 min). anterior vitrectomy was performed in 12 cases (48%). there was no major iol decentration. the final bcva ranged from 6/36 to 6/9. seven cases (28%) showed postoperative glaucoma,five cases (20%) had temporary hypotony,and hyphema in 2 eyes (8%). no cases of suture erosion,postoperative endophthalmitis,retinal detachment,or iol dislocation were detected. conclusion. this technique of one-haptic scleral fixation of posterior chamber iols is a good choice in presence of insufficient capsule support. it reduces the operation time,achieves the iol stability,and minimizes postoperative suture-related complications. © 2012 ashraf i. moawad and asaad a. ghanem.