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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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