IOL Implantation in the Absence of Capsular Support

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

For correction of aphakia, the ophthalmologist has several options. Classically in bilateral cases aphakic glasses can prove useful when contact lenses are not tolerated or impractical for individual circumstances. In unilateral cases, aphakic correction with glasses is rarely tolerated due to aniseikonia. Ideally an intraocular lens (IOL) gives better correction of aphakia due to its location adjacent to the nodal point of the eye. This chapter deals with patients who need aphakia correction but are missing adequate capsular support of the bag or the sulcus. In some cases reshaping the capsular remnants of the Soemmering’s ring is needed to safely place the IOL in the sulcus. In other cases no capsular remnants are present and the situation calls for different surgical strategies. ArtisanⓇ (Ophtec, Groningen, the Netherlands) iris-fixated IOL techniques of both anterior and posterior enclavation are described. Posterior chamber (PC) IOLs can also be used but with scleral sutures, glued haptics, or using flanged haptics. The pros and cons of these techniques are discussed.
Original languageEnglish
Title of host publicationPediatric Cataract Surgery and IOL Implantation
EditorsC Kraus
Pages193-204
Number of pages12
ISBN (Electronic)978-3-030-38938-3
DOIs
Publication statusPublished - 2020

Publication series

NamePediatric Cataract Surgery and IOL Implantation

Fingerprint Dive into the research topics of 'IOL Implantation in the Absence of Capsular Support'. Together they form a unique fingerprint.

  • Cite this

    De Faber, J. T. H. N., & Tjon Fo Sang, M. (2020). IOL Implantation in the Absence of Capsular Support. In C. Kraus (Ed.), Pediatric Cataract Surgery and IOL Implantation (pp. 193-204). (Pediatric Cataract Surgery and IOL Implantation). https://doi.org/10.1007/978-3-030-38938-3_19