Transscleral Posterior Chamber Lens Fixation

Nimitr Ittiphunul M.D.,
Direk Patikulsila M.D.
Department of Ophthalmology, Faculty of Medicine, Chiangmai University, Chiangmai 50002, Thailand

ABSTRACT To avoid the complications associated with anterior chamber lens, the implantation of a posterior chamber lens in the absence of capsular support is alternative method that can be used in the appropriated technique.

We have used three technique for transscleral posterior chamber lens fixation in 20 patients with a mean follow up of 6.5 months (range, 3-25 months). These techniques have been successfully performed and have produced good visual results. Transscleral posterior chamber lens fixation offers amore predictable placement of suture within cilliary sulcus and avoid damage to corneal endothelium, cilliary body, or other ocular structures. These techniques have enabled us to use a posterior chamber lens in eyes that had no capsular support or whose capsule was inadvertently ruptured during extracapsular cataract extraction and in eyes without a posterior capsule when secondary implantation is includes