2M.D. Asistant, Kocatepe University Faculty of Medicine, Department of Ophthalmology, Afyonkarahisar/TURKEY
3M.D. Professor, Kocatepe University Faculty of Medicine, Department of Ophthalmology, Afyonkarahisar/TURKEY Purpose: To evaluate the results of knotless Z-suture scleral fixation intraocular lens (IOL) implantation technique to ciliary sulcus.
Materials and Methods: Twenty subjects whom Z- suture scleral fixation IOL implantation was performed, were included in the study. Visual acuity, intraocular pressure, operative and postoperative complications were recorded.
Results: Best corrected visual acuity at postoperative 2. month was significantly higher compared to the best corrected visual acuity at preoperative period (p=0.037). Best corrected visual acuity remained the same at 6 subjects and increased at 14 subjects and except 1 case all subjects achieved a visual acuity of logMAR 0.3 or better. Only in 1 subject, hyphema was seen during operation. At the postoperative period, suture exposure was seen at 1 subject at 1. month and 2 subjects developed secondary open angle glaucoma which was controlled by medical treatment. No intraocular lens dislocation or tilt was seen.
Conclusion: Complications of Z-suture scleral fixation IOL implantation technique are minimal and it can be performed in short duration, easily and safely. Keywords : Intraocular lens, scleral fixation, Z-suture
