Posters

Cataract surgery in eyes with phacodonesis. Retrospective study

Poster Details

First Author: L.Zurutuza SPAIN

Co Author(s):    I. Escofet   M. Álvarez   P. Simón   V. De Rojas           

Abstract Details

Purpose:

To evaluate visual outcomes and complications of cataract surgery in eyes with phacodonesis.

Setting:

Departament of Ophtalmology, Área Sanitaria da Coruña e Cee, A Coruña, Spain.

Methods:

This study is a retrospective case review. All cases of cataract surgery in eyes with phacodonesis between 2012 and 2019 were included.The following data were collected: age, sex, phacodonesis causes, intraocular lens (IOL) position, cataract grade, pupil size, pre and postoperative best corrected visual acuity, pre and postoperative intraocular pressure, capsular tension ring (CTR) with or without sclera fixation requirement, follow-up and complications. A subanalysis of pseudoexfoliation group was also performed.

Results:

48 eyes (48 patients) were included. Mean age 80.1 ± 9.4 years; 25 females. Average follow-up was 1.8 ± 2.0 years. Causes of phacodonesis were 52.1% pseudoexfoliation syndrome, 12.5% previous eye trauma and 35.4% unspecified cause. Intraocular lens was implanted within the capsular bag lens in 44 patients, in the ciliar sulcus in 3 patients and one case was left aphakic. 11 eyes had a CTR implanted, 3 of them Cionni. Postoperative mean visual acuity improved to 0.30 ± 0.44 LogMar (p <0.01). Complication rate was 18.75% ( 24% in pseudoexfoliation ), being pseudophakodonesis, posterior capsule rupture, zonular dialysis the most common.

Conclusions:

Cataract surgery with phacodonesis involve a higher degree of complication. Therefore, it must be performed by an expert surgeon. Preoperative exam should be minicious, especially in patient with pseudoexfoliation syndrome since it is the main cause of zonular weakness.

Financial Disclosure:

receives non-monetary benefits from a competing company