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Purpose: To assess the visual outcome and complications in patients after Ab-externo scleral fixation of intraocular lens. Materials and Methods. This quasi experimental study was conducted at Isra Postgraduate Institute of Ophthalmology, Al-Ibrahim Eye Hospital, Malir, Karachi; from May 2006 to April 2007. Study included total 30 eyes of 30 patients fulfilling criteria. All cases were worked up according to the protocol. All patients underwent Ab-externo scleral fixation of IOL. Patients were followed up at 1st day, 1st week, 1st month, 2nd month and 3rd month. Complete eye examination including best-corrected visual acuity and complications were noted on each visit. Results: Best corrected visual acuity improved in 29 (96.7%) patients while 26 (86.7%) patients showed BCVA 6/12 or better. The most common intraoperative and postoperative complications observed were vitreous hemorrhage and astigmatism respectively. Conclusion: Ab-externo scleral fixation of an IOL was found to be safe and showed favourable postoperative results.

Azizur Rahman, Israr Ahmed Bhutto, Sadia Bukhari Mazharul Hassan, Muhammad Nasir Bhatti. (2011) Visual Outcome and Complications in Ab-Externo Scleral Fixation IOL in Aphakia, Pakistan Journal of Ophthalmology, Volume 27, Issue 2.
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