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
Leo RJ, Palmer DJ. Episcleritis and Secondary Glaucoma After Transscleral Fixation of a Posterior Chamber Intraocular Lens. Arch Ophthalmol. 1991;109(5):617. doi:10.1001/archopht.1991.01080050023014
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