Posters

Displacement of sulcus placed three-piece intraocular lenses (IOLs) after complicated cataract surgery: incidence, risk factors and clinical management

Poster Details

First Author: P. Morgan-Warren UNITED KINGDOM

Co Author(s):    A. Gao   C. Routledge   L. Wehbeh   A. Patel           

Abstract Details

Purpose:

To report the incidence, risk factors and clinical management of displacement of sulcus placed IOLs following complicated cataract surgery.

Setting:

Solihull Hospital, Heart of England NHS Foundation Trust, West Midlands, UK

Methods:

Patients with sulcus placed IOLs were retrospectively identified from operating theatre records between October 2003 and May 2014, inclusive. Case records were reviewed for demographic and operative details, and comparisons were made between cases in which the sulcus IOL displaced and those without IOL displacement. Clinical management and visual outcomes for patients with displacement of sulcus IOLs were reviewed.

Results:

233 patients with LH3000 sulcus-placed IOLs were identified, of which 29 (12%) displaced; 14 (48%) within 10 days and the remainder up to 3 months post-operatively. IOL power (18.4±4.6 vs 19.5±3.9 dioptres) and axial length (23.8±1.5 vs 23.6±1.5mm) were not significantly different between eyes with displaced vs non-displaced sulcus IOLs, respectively. Younger age (69±16 vs 76±10, p<0.01) and zonular dehiscence (17% vs 3%, p<0.01) were associated with sulcus IOL displacement. 11 patients (38%) required surgical correction, including IOL repositioning (n=8) and IOL removal with ACIOL placement (n=3). BCVA improved from 0.70±0.57 to 0.34±0.29 logMAR in patients undergoing surgical intervention.

Conclusions:

Displacement of sulcus placed IOLs may occur after complicated cataract surgery, particularly in younger patients and after zonular dialysis. Surgical intervention with IOL repositioning or lens explant with ACIOL placement may be required to improve visual outcomes.

Financial Disclosure:

NONE