특이한 지지부를 가진 접형 인공수정체를 이용한 공막봉합고정술의 임상성적

Surgical Results of Transscleral Fixation of Foldable Acrylic Intraocular lens with Unique Shape of Haptics

Purpose: To report the surgical results of transscleral fixation of foldable acrylic intraocular lens with a unique haptic shape (CORNEAL&#9415;, ACR6D, France). Methods: We analyzed the medical records of 18 patients (19 eyes) who had transscleral fixation of posterior chamber intraocular lens implantation from July 2004 to July 2006. Results: According to the cause of operation, there were five eyes with complicated cataract, eight with trauma, and six with aphakia associated with a previous operation. The mean age of the patients was 55.9±21.2 years. The mean preoperative best-corrected visual acuity was 0.31±0.35, and the postoperative value was 0.63±0.29 (p<0.05). The mean preoperative spherical refractive equivalent was 6.58±5.33 diopter, and the postoperative value was -1.77±1.59 diopter. The mean refractive error was -1.13±1.57 diopter. This showed a myopic shift (p<0.05). The mean astigmatism decreased with time, and it stabilized two months after the operation. The trend was toward mild against-the-rule astigmatism. The mean follow-up duration was 11.0±7.6 months. Conclusions: In eyes with inadequate capsular support, transscleral fixation of posterior chamber intraocular lens implantation with CORNEAL&#9415; lenses is a safe and effective procedure for visual correction. J Korean Ophthalmol Soc 49(7):1071-1077, 2008