The Efficacy of a 6-point Transscleral Suture Fixation of a 3-looped Haptics PC-IOL Implantation Through Scleral Pockets for Surgical Management for Microspherophakia

Second Affiliated Hospital, Zhejiang University, School of Medicine9 enrolled

Overview

By comparing the preoperative data and postoperative data of 9 patients of microspherophakia, we concluded that the 6-point transscleral suture fixation of a 3-looped haptics posterior chamber intraocular lens (PC-IOL) through scleral pockets was a feasible method of PC-IOL implantation in the surgical treatment of microspherophakia.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Microspherophakia

Eligibility

Sex: ALLMin age: 10 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Microspherophakia was diagnosed and lens diameter\<9mm; * The lens subluxation was beyond the range of one quadrant and glasses cannot correct the vision; * Lens dislocated into the anterior chamber; * Lens dislocation caused elevated intraocular pressure (IOP); * The lens contacted the corneal endothelium; * Cataract; * Corneal endothelial cell density\>1000/mm2; * The fundus was normal without retinal detachment, severe macular disease and optic nerve atrophy； * There was possible improvement in postoperative visual acuity measured by retinometer. Exclusion Criteria: * The lens is centered and the position of the lens is stable; * Glasses can correct the vision obviously; * The reason for the elevated IOP was independent with the lens; * A high possibility of corneal decompensation after surgery; * Fundus function was poor and it is not expected to improve the vision after surgery; * Combined with other ocular diseases which were not suitable for IOL implantation; * Combined with a systemic disease that the patient cannot tolerate the surgery.