Phacoemulsification using iris hooks and scleral fixation of the intraocular lens in patients with secondary glaucoma associated with lens subluxation

Purpose: We described the techniques and results of phacoemulsification using iris hook and scleral fixation of intraocular lens (IOL) in patients with secondary glaucoma associated with lens subluxation. Methods: Eight eyes of seven patients with secondary glaucoma associated with lens dislocation, who had undergone the surgery, were retrospectively reviewed. Results: At a mean of 23.5 months ±13.6 (SD) after the surgery, the mean best-corrected visual acuity improved from 0.24±0.21 to 0.83±0.3, and mean intraocular pressure (IOP) was changed from 38.4±11.4 to 15.5±1.8 mmHg at the final examination. There were no vitreoretinal complications except cystoid macular oedema in one eye. Conclusion: The technique appears to be safe and effective in terms of visual rehabilitation and controlling IOP in patients with secondary glaucoma associated with lens subluxation.