Retrospective evaluation of complicated cataract surgeries with sulcus implantation of single-piece foldable intraocular lenses Original research study

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Daniel Czyżewski
Joanna Sempińska-Szewczyk
Ewa Filipiak
Radosław Kaźmierczak
Grzegorz Róg


Objectives: To evaluate the results of treatment in a group of patients undergoing cataract phacoemulsification with sulcus implantation of single-piece foldable intraocular lenses.

Material and methods: A total of 24 eyes of 24 patients, who underwent cataract phacoemulsification in the Department of Ophthalmology at the Central Clinical Hospital of the Ministry of Interior and Administration in Warsaw in 2008–2015 was included. As a result of intraoperative rupture of the posterior lens capsule, single-piece foldable intraocular lens was implanted into the ciliary sulcus. Visual acuity, intraocular pressure, anterior and posterior segment of the eyes were assessed before the surgery, on days 1 and 7 after the surgery and in the period of 6 to 84 months after the surgery.

Results: During the follow-up period from 6 months to 7 years, an improvement in BCVA was shown by an average of 0.2 on the Snellen chart. Complication included: pigment dispersion (42%), increased intraocular pressure or the need to modify antiglaucoma treatment (25%), iris transillumination defect (17%).

Conclusions: In the case of cataract phacoemulsification complicated by rupture of the posterior lens capsule, sulcus implantation of a single-piece foldable intraocular lens improves visual acuity, but poses a risk of developing secondary glaucoma. If we choose such a solution, we should provide patients with the possibility of regular checkups. Due to relatively frequent complications, in cases of cataract surgery with posterior capsule rupture, the authors recommend choosing other fixation methods.

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Czyżewski D, Sempińska-Szewczyk J, Filipiak E, Kaźmierczak R, Róg G. Retrospective evaluation of complicated cataract surgeries with sulcus implantation of single-piece foldable intraocular lenses. Ophthatherapy [Internet]. 2020Dec.29 [cited 2021May14];8(1):50-5. Available from:
Surgery and laser therapy


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