Scleral Fixation of Intraocular Lens (IOL) - An Easy and Safe Technique

Syed Raza Ali Shah, Chaudhry Nasir Ahmad, Ashal Kaisar Pal, Tehseen Mahju, Asad Aslam Khan


Two hundred eyes of 194 patients were operated for Scleral Fixation of Posterior Chamber Intraocular Lenses (IOLs) atInstituteofOphthalmology,MayoHospital,Lahorefrom January 2007 till December 2010. Those operated either had Intracapsular Cataract Extraction (ICCE) done previously, per-operated large rent in posterior capsules, dislocated lens or traumatic sub-luxated cataractous lens. Immediate complications were transient rise in Intraocular Pressure, corneal edema, striate keratopathy. Late complications noted had decentration of IOLĀ  (4%), Cystoid Macular edema 4%, suture erosion (2%) and lens tilt (1%). 80% patients had Post-operative V/A of 6/6-6/12 and 20% had V/A 6/18- 6/60 as compared to Pre-Operative V/A of 56% in 6/6-6/12, 10% in 6/18-6/60 and 34% in 3/60-PL+ ve. Encouraging results favour this procedure.