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Two double flanged versus four flanged in scleral fixated IOL: A descriptive study

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1 Ophthalmology Department, RSUD Tenriawaru Hospital, Bone, South Sulawesi, Indonesia

2 Cerebellum Clinic, Makassar, South Sulawesi, Indonesia

Address correspondence to:

George Ade Sitanaya

Jl. Sungai Walanae no. 2, Makassar, Sulawesi Selatan,

Indonesia

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Article ID: 100004O02GS2020

doi: 10.5348/100004O02GS2020SR

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How to cite this article

Sitanaya GA, Phoaniary R, Ibrahim DF. Two double flanged versus four flanged in scleral fixated IOL: A descriptive study. Edorium J Ophthalmol 2020;3:100004O02GS2020.

ABSTRACT


Aims: To describe a new method for scleral fixated intraocular lens (IOL) and to report its long-term follow-up. This study also shows the comparison of the new method with the current popular method that is four flanged scleral fixated IOL.

Method: Six patients who underwent the new method (two double flanged IOL) and 6 patients underwent four flanged scleral fixated IOL. Postoperative data was collected and recorded, such as visual acuity, intraocular pressure, anterior chamber activity, sign of IOL decentration/tilting and subjective complaints from the patients. Follow-up was done for 4–8 weeks.

Result: Among the first group (two double flanged IOL) the mean visual acuity are 0.28 and 0.34 [uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA)]. The second group (four flanged IOL) the mean visual acuity are 0.29 and 0.35 (UCVA and BCVA). There is no (0%) IOL decentration of both the groups during the follow-up period. No significant anterior chamber reaction was found in both groups.

Conclusion: The two double flanged IOL can be used as alternative method for intrascleral IOL fixation. It provides good long-term stabilization, no need for specific IOL, or any hard to obtain material.

Keywords: Aphakia, Dislocation, Intrascleral IOL, Secondary IOL, Subluxation

SUPPORTING INFORMATION


Author Contributions

George Ade Sitanaya - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Ronald Phoaniary - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published

Dian FurqaniIbrahim - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 George Ade Sitanaya et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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