Özet:

Purpose: The purpose of this study was to compare the results of primary iris-fixated and scleral-fixated posterior chamber intraocular lens implantations in patients with in sufficient capsular support. Materials and Methods: A prospective analysis of patients who underwent primary sutured posterior chamber intraocular lens implantation secondary to insufficient posterior capsular support during cataract surgery was performed. Result measures were; best corrected visual acuity, change in visual acuity and complications. Results: In this study, 13 patients (30.2%) underwent iris-fixated and 30 patients (69.8%) scleral-fixated posterior chamber intraocular lens implantations. The visual acuity improved by at least one Snellen line or remained unchanged in 11 patients (84. 6%) in the iris-fixated group and in 25 patients (83.3%) in the scleral-fixated group. Patients with best corrected visual acuity of 0.5 or higher were 30.8% (n = 4) in the iris-fixated group and 50% (n = 15) in scleral-fixated group postoperatively.  Both primary iris- fixed and scleral-fixed posterior chamber intraocular lens implantations can provide favorable visual outcomes. The points to underline for the fixation of the sutured posterior camera intraocular lens are; the preoperative condition of the patient's eye, the situation of the area to be fixed, the type of lens and the preference of the surgeon.

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