Background: This paper describes a modified surgical technique for intraocular lens implantation in aphakic eyes with no capsular support. Methods: Retrospective case series. Seventeen eyes of 17 aphakic patients with no capsule support underwent intraocular lens (IOL) implantation using a standardized technique in which a net was created at the ciliary sulcus plane with two threads forming a net pattern. The net was used as support for the IOL. Follow-up ranged from 6 to 38 months, with an average of 23 months. Results: In all cases, the IOL was safely implanted and remained stable during the follow-up. In 16 eyes, the IOL remained well centered; in one eye, slight decentration was observed. Distance-corrected visual acuity improved by a mean of 4 lines, from 1.13 (LogMAR) to 0.52 (P = 0.01). Conclusion: This technique might be especially useful in cases of insufficient capsular support associated with tissue loss or iris atrophy. In these cases, iris fixation is not feasible; thus, the only surgical alternative is IOL scleral fixation.
CITATION STYLE
De Novelli, F. J., Neto, T. L. G., Rabelo, G. de S., Blumer, M. E., Suzuki, R., & Ghanem, R. C. (2017). Net technique for intraocular lens support in aphakia without capsular support. International Journal of Retina and Vitreous, 3(1). https://doi.org/10.1186/s40942-017-0085-8
Mendeley helps you to discover research relevant for your work.