Phacoemulsification using iris hooks and scleral fixation of the intraocular lens in patients with secondary glaucoma associated with lens subluxation

• Published in: Eye (London) Vol. 22; no. 9; pp. 1187 - 1190
• Main Authors: Ma, K T, Lee, H K, Seong, G J, Kim, C Y
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 01.09.2008; Nature Publishing Group
• Subjects: Adult; Aged; Biological and medical sciences; clinical-study; Female; Glaucoma; Glaucoma - complications; Glaucoma - surgery; Glaucoma and intraocular pressure; Humans; Intraocular Pressure - physiology; Iris - surgery; Laboratory Medicine; Lens Subluxation - complications; Lens Subluxation - surgery; Lenses, Intraocular - adverse effects; Male; Medical sciences; Medicine; Medicine & Public Health; Middle Aged; Miscellaneous; Ophthalmology; Phacoemulsification - instrumentation; Phacoemulsification - methods; Pharmaceutical Sciences/Technology; Retrospective Studies; Sclera - surgery; Surgery; Surgical Instruments; Surgical Oncology; Visual Acuity - physiology; iris hooks; secondary glaucoma; lens dislocation; scleral fixation; phacoemulsification; Glaucoma; Human; Protozoa; Iris (eye); Secondary; Luxation; Phacoemulsification; Eye disease; Association; Fixation; Treatment; Glaucoma (eye); Surgery; Ciliata; Lens; Ophthalmology; Intraocular lens; Sclera
• ISSN: 0950-222X; 1476-5454
• DOI: 10.1038/sj.eye.6702909

Purpose We described the techniques and results of phacoemulsification using iris hook and scleral fixation of intraocular lens (IOL) in patients with secondary glaucoma associated with lens subluxation. Methods Eight eyes of seven patients with secondary glaucoma associated with lens dislocation, who had undergone the surgery, were retrospectively reviewed. Results At a mean of 23.5 months±13.6 (SD) after the surgery, the mean best-corrected visual acuity improved from 0.24±0.21 to 0.83±0.3, and mean intraocular pressure (IOP) was changed from 38.4±11.4 to 15.5±1.8 mmHg at the final examination. There were no vitreoretinal complications except cystoid macular oedema in one eye. Conclusion The technique appears to be safe and effective in terms of visual rehabilitation and controlling IOP in patients with secondary glaucoma associated with lens subluxation.