DR. RUPALI BARNWAL

, Dr.MEHUL SHAH, Dr. SHREYA SHAH, DR. APEKSHA KATARIA

Abstract

INTRODUCTION: A SELF SUSTAINING SCLERAL TUCK LENS PROVIDES A SIMPLE, COST-EFFECTIVE SOLUTION FOR APHAKIA AFTER PRIMARY GLOBE REPAIR IN ZONE 3 INJURIES. IT IS A NEW LENS DESIGN SPECIALLY FOR SCLERAL FIXATION.

BACKGROUND: ZONE 3 INJURIES ARE DEFINED AS EXTENSION OF INJURY POSTERIOR TO ANTERIOR 5 MM OF SCLERA, DUE TO BLUNT OR SHARP OBJECTS.A SPECIALLY DESIGNED PC-IOL WAS IMPLANTED IN PATIENTS WITH APHAKIA WITHOUT CAPSULAR SUPPORT BECAUSE OF ZONE 3 INJURIES. THE “FLIPPER” SHAPED HAPTIC END EXTENDS THROUGH A 20 GAUGE SCLEROTOMY TO FIXATE THE LENS WITHOUT THE NEED FOR GLUE OR SUTURES. THE VISUAL OUTCOMES, AS WELL AS INTRAOPERATIVE AND POSTOPERATIVE COMPLICATIONS WERE EXAMINED.

CONCLUSION: SATISFACTORY VISUAL OUTCOMES WERE NOTED WITH MINIMAL COMPLICATIONS AND COMPARABLE WITH GOLD STANDARD SUTURE FIXATED LENS. HOWEVER, LONG-TERM FOLLOW-UP IS REQUIRED