Clinical Study

Surgical Synechiolysis of Iridocapsular Adhesion and Sulcus Placement of a Rigid Intraocular Lens on an Oversized Residual Capsular Rim

Table 1

Patients characteristics and surgical outcomes.

PtAge (years)/genderEyePreexisting conditionSurgical history (M/Y)Secondary IOL implantation and concurrent surgeries (M/Y)FU (M)BCVA before/after OP(Chinese tumbling E chart)Al (mm)/horizontal WTWPrediction errorAstigmatism post (absolute value, diopters)IOL positionComplication

17/MROversized vitrectorrhexis, corneal scar, ERMCorneal laceration repair after penetrating injury (9/2012); lensectomy + PPV for cataract and VH (9/2012)Extensive synechiolysis, sulcus placement of CZ70BD IOL (12/2012)530.08/0.1522.65/12.590.252.25Mild decentrationNone
27/MROversized vitrectorrhexis, corneal scar, ocular foreign body, preretinal hemorrhageCorneal laceration repair after penetrating injury (1/2014); lensectomy + PPV for cataract and VH (1/2014)Foreign body removal, PPV, extensive synechiolysis, sulcus placement of CZ70BD IOL (7/2014)160.01/0.122.06/NA−1.53CentrationNone
356/FROversized CCCPhacoemulsification + PPV for cataract and VH caused by ocular contusion (4/2013)Extensive synechiolysis, sulcus placement of CZ70BD IOL (10/2013)440.3/0.523.01/12.39−0.51.5CentrationNone
43/MROversized vitrectorrhexis, IOL dislocationLensectomy + anterior vitrectomy for congenital cataract (8/2011); sulcus implantation of a foldable IOL (9/2014)Explanation of original IOL, synechiolysis, and sulcus placement of CZ70BD IOL (9/2014)320.1/0.322.7/NA−0.251.5CentrationNone
57/MROversized vitrectorrhexis, corneal opacity, PHPV, optic dysplasiaLensectomy + anterior vitrectomy for combined PFV (7/2008)Extensive synechiolysis, extraction of lens remnants, PPV, sulcus placement of CZ70BD IOL (6/2015)280.1/0.2521.6/11.57−0.41.75CentrationNone
62.5/MROversized vitrectorrhexis, corneal scarCorneal laceration repair + lensectomy + formation of anterior chamber after ocular blast injury (2/2013)Extensive synechiolysis, limited vitrectomy, sulcus placement of CZ70BD IOL (6/2015)26CF/0.122.83/NA−0.752.25CentrationNone
739/MROversized CCC, high myopiaPhacoemulsification + PPV + scleral buckling for RRD (12/2014)Synechiolysis and sulcus placement of CZ70BD IOL (8/2015)400.8/1.027.1/12.19 for horizontal and 12.42 for vertical0.51CentrationNone
82/MROversized vitrectorrhexis, corneal scarCorneal laceration repair after penetrating injury (7/2014); lensectomy + anterior vitrectomy for cataract (8/2014)Extensive synechiolysis, sulcus placement of CZ70BD IOL (8/2015)26LP/CF21.4/NA0.751.75CentrationNone
Mean ± SD33 ± 1223 ± 2−0.2 ± 0.71.9 ± 0.6

AL, axial length; BCVA, best-corrected visual acuity; CCC, continuous curvilinear capsulorhexis; CF, counting fingers; ERM, epiretinal membrane; IOL, intraocular lens; LP, light perception; PFV, persistent fetal vasculature; PPV, pars plana vitrectomy; RRD, rhegmatogenous retinal detachment; VH, vitreous hemorrhage; M, male; F, female; R, right; IOL, intraocular lens; FU, follow-up visit period; M, months; Y, years; WTW, white-to-white.