목적: 수정체낭 지지가 없는 경우에서 접히는 4개의 지지부를 가진 일체형 아크릴 재질의 인공수정체를 이용한 공막봉합 이차 인공수정체 삽입술의 새로운 술기를 소개하고 임상 결과에 대해 알아보고자 하였다. 대상과 방법: 4개의 지지부를 가진 인공수정체를 홍채 위에 올려놓은 다음, 한쪽 지지부를 교대로 후방으로 밀어 넣으면서 바늘을 인공수정체의 앞쪽에서 뒤쪽으로 통과시켜 공막에 고정한다. 본원에서 이러한 술기로 시행 받은 28명 28안을 대상으로 의무기록을 후향적으로 분석하였다. 술 후 6개월되는 시점 이후에 최대교정 시력을 측정하였고, 합병증 여부를 조사하였다. 결과: 27명의 환자에서 술후 최대 교정 시력이 0.5 이상으로 시력 회복 양상을 보였다. 1명의 환자에서 맥락막박리(3.6%) 소견을 보였으나 다른 합병증 소견은 보이지 않았다. 결론: 수정체낭 지지가 없는 경우에 접히는 4개의 지지부를 가진 일체형 아크릴 재질의 인공수정체를 이용한 공막봉합 이차 인공수정체삽입술은 술기가 쉽고 수술 시간을 줄일 수 있으며 인공수정체의 위치 안정성이 탁월하여 빠른 시력 회복에 유용한 수술 방법이며비교적 안전한 수술법이라고 생각한다.

Purpose: To introduce a new surgical method of transscleral intraocular lens (IOL) fixation using a foldable, single-piece acrylic IOL with 4 loop haptics and to report the surgical results. Methods: After a single-piece acrylic IOL with 4 loop haptics was injected into the anterior chamber and positioned on top of the iris diaphragm, a 10-0 Prolene STC-6 straight needle and a 27-gauge needle were used to string the prolene thread through the haptic openings from front to back fixating the IOL to the sclera, resulting in a transscleral “1 loop 4 points”fixation. Twenty-eight eyes of 28 patients who had received transscleral fixation via this new technique were retrospectively reviewed. The best corrected vision acuity (BCVA) was measured after a postoperative period of at least 6months. Intraoperative and postoperative complications were investigated. Results: In 27 out of 28 eyes (96.4%), the postoperative BCVA was better than 0.5 (Snellen chart). The only complication found was 1 case of choroidal detachment (3.6%). Conclusions: The new transscleral “1 loop 4 points” fixation technique of a foldable, single-piece acrylic IOL in the absence of capsular support is an easy procedure and reduces surgical time and hastens visual rehabilitation due to excellent IOL positioning stability. Additionally, the technique described in the present study may be a safe procedure with minimal complications.

Purpose: To introduce a new surgical method of transscleral intraocular lens (IOL) fixation using a foldable, single-piece acrylic IOL with 4 loop haptics and to report the surgical results. Methods: After a single-piece acrylic IOL with 4 loop haptics was injected into the anterior chamber and positioned on top of the iris diaphragm, a 10-0 Prolene STC-6 straight needle and a 27-gauge needle were used to string the prolene thread through the haptic openings from front to back fixating the IOL to the sclera, resulting in a transscleral “1 loop 4 points”fixation. Twenty-eight eyes of 28 patients who had received transscleral fixation via this new technique were retrospectively reviewed. The best corrected vision acuity (BCVA) was measured after a postoperative period of at least 6months. Intraoperative and postoperative complications were investigated. Results: In 27 out of 28 eyes (96.4%), the postoperative BCVA was better than 0.5 (Snellen chart). The only complication found was 1 case of choroidal detachment (3.6%). Conclusions: The new transscleral “1 loop 4 points” fixation technique of a foldable, single-piece acrylic IOL in the absence of capsular support is an easy procedure and reduces surgical time and hastens visual rehabilitation due to excellent IOL positioning stability. Additionally, the technique described in the present study may be a safe procedure with minimal complications.