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May 1991

Episcleritis and Secondary Glaucoma After Transscleral Fixation of a Posterior Chamber Intraocular Lens

Author Affiliations

Toledo, Ohio; Chicago, Ill

Arch Ophthalmol. 1991;109(5):617. doi:10.1001/archopht.1991.01080050023014

Transscleral fixation of a posterior chamber intraocular lens (PC IOL) is a method of implanting a pseudophakos in the absence of posterior capsular support.1 We describe a patient with secondary glaucoma and episcleritis associated with transscleral PC IOL fixation.

Report of a Case.  —A 62-year-old man underwent extracapsular cataract extraction of his left eye with PC IOL implantation in January 1988. Three months later, a lens explantation and anterior vitrectomy were performed for a subluxed implant. A subsequent extracapsular cataract extract of his right eye with PC IOL implantation in 1989 was uneventful.Because of contact lens intolerance, a PC IOL with 1 to 7 o'clock transscleral fixation 1 mm from the limbus (JF3U00; Alcon Surgical, Ft Worth, Tex) was implanted on January 30, 1990. Hypotony prevented dissection of partial-thickness scleral flaps to cover the knots securing the PC IOL at the exit sites (Figure). Two months later, corrected

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