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Intraocular Lens Implantation In The Ciliary Sulcus: Challenges And Risks
Authors Mehta R, Aref AA
Received 5 August 2019
Accepted for publication 5 November 2019
Published 27 November 2019 Volume 2019:13 Pages 2317—2323
DOI https://doi.org/10.2147/OPTH.S205148
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 2
Editor who approved publication: Dr Scott Fraser
Rajvi Mehta, Ahmad A Aref
Illinois Eye and Ear Infirmary, Chicago, IL, USA
Correspondence: Ahmad A Aref
Illinois Eye and Ear Infirmary, 1855 W. Taylor Street, M/C 648, Chicago, IL 60612, USA
Tel +1312-996-7030
Fax +1312-413-8574
Email aaref@uic.edu
Purpose: This article reviews the current literature on the risks and challenges associated with intraocular lens (IOL) implantation in the ciliary sulcus.
Recent findings: The development of IOLs designed specifically for placement in the ciliary sulcus continues to be an area of interest for the ophthalmic industry. Currently the one-piece PMMA (polymethylmethacrylate) lens or a three-piece IOL are the best available options for IOL placement in the ciliary sulcus space. Single piece acrylic (SPA) IOLs are not designed for sulcus placement and there is growing evidence of chronic complications related to their use in the ciliary sulcus. Many of these eyes ultimately require surgical intervention, including lens exchange. Endoscopic imaging and ultrasound biomicroscopy (UBM) have enabled a better understanding of ciliary sulcus anatomy and measurements in the living eye.
Summary: When the capsular bag is compromised, IOL placement in the ciliary sulcus is a reasonable option. In these circumstances, appropriate choice of IOL, knowledge of the sulcus anatomy, and correct technique can improve results and reduce postoperative complications.
Keywords: ciliary sulcus, capsule rupture, intraocular lens, complications, surgical technique
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