Katarakt Cerrahisi ile Aynı Seansta Skleral Askılı Göz İçi Lens Yerleştirilmesi

Objective: The aim of our study was to evaluate ophthalmologic findings of patients who had preoperative capsullar or zonullar insufficiency and underwent scleral fixated intraocular lens (IOL) implantation at the same session with phacoemulsification surgery. Method: Preoperatively the patients’ visual acuities were measured by Snellen, anterior and posterior segments were evaluated and intraocular pressures were measured by applanation tonometer. Kornealkeratometry values were measured by Topcon KR-800/RM-800 otorefractokeratometry at the stepest and flatest meridians as K1and K2. During the surgries, after cataract extraction scleral fixated İOL was implantated. The patients were followed at least 6 months after the operation. Results: Thirty six eyes of 31 patients were included. Fourteen patients (45.1%) were female, seventeen (54.9%) were male. The average of age was 51.7±24.0 (25-65) years. The ethiology was trauma in 10 (27.8%), Marphan Syndrome in 10 (27.8%) and pseudoeksfoliation in 16 (44.5%) of the eyes. Preoperatively the average of best corrected visual acuities with snellen charts were 0.1±0.1 and at the postoperative 6th month it was 0.6±0.3 with significant improvement (p≤0.000). Intraocular pressures decreased significantly (p=0.036). The changes of K1 and K2 kerometric values were not statistically significant (p=0.351; p=0.875 respectively). The average postoperative spheric values were +0.50±0.50D. Postoperatively, at five eyes (13.9%) intraocular pressure rised slightly, at two eyes (5.5%) intravitreal hemoragyoccured. Conclusion: Scleral fixated IOL implantation at the same session with cataract ekstraction provides rapid visual improvement. In the same session, phacoemulsification and scleral suspension IOL placement did not increase complication rates compared to surgeries performed in separate sessions.