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¹M.D., Mersin University Faculty of Medicine, Department of Ophthalmology, Mersin/TURKEY
²M.D. Associate Professor, Mersin University Faculty of Medicine, Department of Ophthalmology, Mersin/TURKEY We planned to evaluate the results of scleral fixation with modified Siepser method in the treatment of subluxated posterior chamber intraocular lenses (IOL). Four patients who were referred to our clinic for decreased vision some time after cataract surgery and diagnosed as IOL subluxation were included in this study. Existing IOLs were hanged on to sclera from one of their haptics with 10-0 polyprolein pc 9 suture. Preoperative and postoperative visual acuities were measured and patients were followed up for the sustained centralization of IOLs. Mean age of the patients were 41.25±21.69 years (range:15-69 years), and they were followed up for 5.75±3.30 months (range: 2-9 months). The best corrected visual acuities according to Snellen chart were 0.14±0.08 rows (range: 0.05-0.2 rows) preoperatively and 0.53±0.15 rows (range: 0.4-0.7 rows) postoperatively. There were no intraoperative complications. Three of four patients (75%) have maintained centralized IOLs, but one with nystagmus have again developed decentralized IOL in the postoperative period. In decentralized posterior chamber IOLs; hanging on from one haptic of subluxated IOL to sclera is an alternative surgery to IOL exchange and scleral or iris fixated IOL implantation. In selected patients, with this technique for preserving the existing IOLs, visually successful results can be obtained. Keywords : Decentralization, intraocular lens, modified Siepser method, scleral fixation, subluxation