Suture fixation of a posterior chamber intraocular lens in anticoagulated patients
Accepted 4 September 2002.
Abstract
Purpose
To describe a technique of suture fixating posterior chamber silicone intraocular lenses (PC IOLs) to the iris through a limbal incision and to evaluate its effectiveness in preventing intraocular hemorrhages.
Setting
Price Vision Group, Indianapolis, Indiana, USA.
Methods
This retrospective single-center study comprised 7 eyes (5 patients) that had suture fixation of a silicone PC IOL from a limbal approach to the midperipheral iris using 9-0 polypropylene (Prolene®) suture. All patients were taking warfarin sodium (Coumadin®) preoperatively and postoperatively. At each follow-up examination, visual acuity and intraocular pressure were measured, the stability of the PC IOL was assessed, and the anterior chamber and posterior segment were evaluated for blood.
Results
There was no incidence of intraocular hemorrhage during surgery in any eye. In 6 eyes, there was no blood in the anterior chamber or posterior segment at any postoperative examination. A nonlayering hyphema that resolved within 1 week without sequelae was noted in 1 patient 6 weeks postoperatively. The mean follow-up was 10.7 months (range 6 to 25 months).
Conclusion
Suture fixating a PC IOL to the iris through a limbal approach was an effective means of placing an IOL in anticoagulated patients without capsule support.
aEye Care Specialists, Cape Girardeau, Missouri , USA (Parker)
bPrice Vision Group, Inc., Indianapolis, Indiana (Price), USA
Reprint requests to Francis W. Price Jr., MD, Price Vision Group, Inc., 9002 North Meridian Street, Suite 100, Indianapolis, Indiana 46260, USA.
1 Neither author has a financial or proprietary interest in any material or method mentioned.
ABSTRACT