Abstract:
Aim: To evaluate the results of scleral fixated intraocular lenses (SFIOLs) implantation in eyes that had lost capsular support.
Material and methods: Eyes of twenty patients who had lost their capsular support due to various causes included in this study. This
study involved 5 females and 15 males. Eight eyes were included following complicated cataract surgeries, five eyes were patients
in trauma, three eyes were with subluxated intraocular lens, three aphakic eyes which underwent congenital cataract surgeries and
one eye that had beginning of bullous keratopathy due to anterior chamber lens were operated. The secondary SFIOLs implantation
were performed in all eyes. Preoperative and postoperative best corrected visual acuities were compared.
Results: The mean age of patients was 61.4±15.04 years. The mean follow-up time was 3.12±0.7 months. The best corrected mean
preoperative and postoperative visual acuities of patients were found as 0.16±0.02 and 0.38±0.07; respectively, using the Snellen
chart. In our study; in two patients corneal edema, in one patient pupillary irregularity and in one patient increased intraocular
pressure were observed. There was a statistically significant difference between the mean preoperative and postoperative visual
acuities of patients according to the Wilcoxon test (p=0.01).
Conclusion: SFIOLs implantation have still maintained its importance for correction of aphakia in patients without adequate
capsular support despite all new developments.
