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Indian Journal of Clinical and Experimental Ophthalmology


Combined scleral fixated intraocular lens and strabismus surgery


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Author Details: Amit Mohan

Volume : 3

Issue : 2

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 210

Article End Page : 213


Abstract

Aims & Objectives: In the presence of aphakia & strabismus there is dilemma whether to manage the two conditions separately or together. Here we evaluate the result of combined strabismus and scleral fixated intraocular lens (SFIOL) surgery.
Material & Methods: 5 cases of combined strabismus and SFIOL surgery were reviewed to determine if there was increased risk of complications.
Results: A review of these cases revealed there were no complications arising from the combined surgery and there were benefits in decreased time of hospitalization and operation, less psychological stress, improved strabismus surgical outcome and avoidance of staged surgery. Combined surgery provides benefit of no conjunctival adhesion . All patients were attained satisfactory ocular alignment within 10 prism dioptres of horizontal deviation with no overcorrection. Visual acuity was improved in all patients.
Conclusion: Simultaneous extra ocular muscle surgery and SFIOL is effective and indicated in patients of aphakia with no capsular support and strabismus and good potential of visual acuity. Standard strabismus surgical amounts are recommended.

Keywords:
Aphakia, SFIOL surgery, Strabismus

Doi No:-10.18231