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Two cases with scleral fixation of intraocular lens after trabeculectomy

Poster Details

First Author: E.Takahashi JAPAN

Co Author(s):    A. Nishizawa   T. Inoue   K. Kawabata   H. Tanihara           

Abstract Details

Purpose:

To report two cases who needed the scleral fixation of intraocular lens (IOL) after trabeculectomy implicating the fragmentation of ciliary zonule with the escape of vitreous during trabeculectomy in exfoliation glaucoma.

Setting:

Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University (Japan)

Methods:

Case 1 is a 79-year-old man and intraocular pressure (IOP) was 40 mmHg in the right eye before trabeculectomy.The eye was undergone the cataract surgery and implanted an intraocular lens (IOL) ten years ago. During carrying out trabeculectomy in the right eye, the vitreous prolapsed after the peripheral iridotomy.Case 2 is a 77-year-old woman. IOP was 34 mmHg in the right eye before trabeculectomy. During suturing scleral flap in trabeculectomy, superior anterior chamber became shallow and vitreous-like material was prolapsed.

Results:

In case 1, inferior disorientation of IOL was observed at the next day. Extraction and scleral fixation of IOL were performed 96 days later. IOP 6 months later was 21 mmHg and the IOL was located in center. In case 2, the upper anterior chamber was shallow because of the forward lens dislocation at the next day. Phacoemulsification and scleral fixation of IOL were performed 28 days later because of the superior lens opacification. IOP 4 months later was 13 mmHg and the IOL was fixed well.

Conclusions:

The results indicate that the scleral fixation of IOL may be useful in cases with the fragmentation of ciliary zonule after trabeculectomy.

Financial Disclosure:

NONE

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