Retrospective safety and efficacy of scleral fixated IOLs
3 (6)
(1) Good visual improvement
(2) Stable and well-positioned PCIOL after surgery in all eyes
(3) Complications: asymptomatic pupillary IOL capture in 3 eyes
Kumar et al. (1999)
Prospective case series evaluation of scleral fixated IOL implantation
11 (11)
(1) Postoperative BCVA: stable in 54.5%, improved by more than 1 Snellen line 27.2% and decreased by more than 1 Snellen line in 18.1%
(2) Complications: suture erosion through the conjunctiva in 18.18%, marked postoperative anterior chamber reaction in 18.18%, IOL decentration in 9.09%, glaucoma in 9.09%, and cystoid macular edema in 9.09%
Zetterström et al. (1999)
Retrospective long-term outcomes of scleral-sutured PCIOLs
13 (21)
(1) Postoperative BCVA: stable or improved
(2) Complications: posterior synechiae (n = 4), cells on the IOL surface (n = 4), and IOL subluxation (n = 2); no visual axis opacification, secondary glaucoma, or retinal complication was recorded
Prospective evaluation of transscleral fixated IOLs
26 (26)
(1) Postoperatively, BCVA within one Snellen line was achieved by more than 80% of the patients
(2) Complications: IOP increase in 11.5%, marked anterior chamber reaction in 15.4%, IOL decentration in 19.2%, and suture erosion through the conjunctiva in 7.4%
Sewelam et al. (2001)
Retrospective haptic position evaluation of transscleral fixated PC IOLs using UBM
20 (20)
IOL haptics located in the sulcus (55.0%), anterior to the sulcus (27.5%), and posterior to the sulcus (17.5%)
Ozmen et al. (2002)
Retrospective assessment of the visual outcome and complications of transscleral fixated IOLs
18 (21)
(1) Visual improvement of more than 2 Snellen lines in 9 eyes (42.8%)
(2) Complications: the most severe were concurrent endophthalmitis and retinal detachment (n = 1); the most common were pupillary distortion, transient pupillary membrane, pupillary capture, and strabismus and anterior uveitis
Bardorf et al. (2004)
Retrospective long-term results of transscleral-sutured IOLs
(1) Postoperative VA: improved in 70%; in 51% improved by two lines or more; no patient suffered visual acuity loss
(2) Complications: small hyphemas (7%), vitreous hemorrhage (5%), ocular hypertension or hypotony (5%) and iris capture of the IOL optic (5%); no retinal detachment or other retinal complications were reported
Buckley (2007)
Retrospective long-term outcomes of transscleral-sutured PCIOLs
26 (33)
(1) Postoperative VA: significantly improved
(2) Complications: intraoperative and immediate postoperative minimal and not sight-threatening; IOL subluxation due to spontaneous 10-0 polypropylene suture breakage (n = 3) at 3.5, 8, and 9 years after surgery; 10 similar cases by a survey of paediatric ophthalmologists (mean, 5 years after surgery)
Asadi and Kheirkhah (2008)
Case series long-term results of transscleral fixated PCIOLs
23 (25)
(1) Postoperative BCVA: improved in 48% by >1 Snellen line; the main cause of reduced vision was corneal and retinal pathologies and amblyopia
(2) Complications: transient intraocular hemorrhage (52%), transient choroidal effusion (8%), late endophthalmitis (4%), retinal detachment (4%), and late IOL dislocation due to breakage of polypropylene sutures after 7 to 10 years (24%)
Olsen and Pribila (2011)
Retrospective sulcus fixated, sutured PCIOL using endoscopic guidance during PPV
20 (21)
(1) Most patients had visual function improvement
(2) Complications: suture breakage (n = 2) due to repeat trauma
(3) Advantages: excellent visualization and haptic localization, optimal lens centration, buried knots, broad scleral imbrication, and minimal vitreous- and hemorrhage-related complications
(4) Disadvantages: learning curve, increased operative time, long-term suture stability issues, and limited availability of intraocular endoscopes
Burcu et al. (2014)
Retrospective evaluation of the outcomes of scleral fixated PCIOLs
14 (24)
Median postoperative BCVA: 0.2 (min: hand motion; max: 0.8) in decimal notation ; BCVA improved at least one Snellen line or remained unchanged in all eyes
