Journal
BRITISH JOURNAL OF OPHTHALMOLOGY
Volume 87, Issue 12, Pages 1459-1462Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/bjo.87.12.1459
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Aim To assess and compare the results of primary and secondary implantation of scleral fixated posterior chamber intraocular lens (SFIOL). Methods: The medical records of a consecutive series of 55 eyes of 55 patients with SFIOLs implanted during ( group 1) or after ( group 2) complicated senile cataract surgery were retrospectively reviewed and analysed. Results: There were 30 and 25 eyes in group 1 and 2, respectively. Follow up was from 6 to 36 months. Mean logMAR postoperative best corrected visual acuity in group 1 was not significantly different (0.50 (SD 0.36)) from that of group 2 ( 0.36 (0.21)) ( p = 0.109). Postoperative best corrected visual acuity of 6/12 or better was achieved in 58.6% and 76.0% in group 1 and 2, respectively. The difference was not statistically significant ( p = 0.177). In group 1, 25 (83.3%) eyes had a total of 55 early complications, while in group 2, 16 (64%) eyes had 26 early complications ( p = 0.028). The difference in early complication was statistically significant. For late complication after 1 month, 21 (70.0%) eyes had a total of 37 complications in group 1, while 13 eyes (52.0%) had 19 complications in group 2 ( p = 0.077). The difference in late complication was not statistically significant. Conclusion: Secondary implantation of SFIOL after cataract extraction seems to have a lower early complication rate than primary implantation in complicated cataract extraction although the final visual acuity and late complication rate are not significantly different.
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