Posters

Comparative evaluation of suture-assisted and sutureless intrascleral posterior chamber intraocular lens fixation

Poster Details

First Author: Z. Wu CHINA

Co Author(s):    S. Luo                    

Abstract Details

Purpose:

Scleral fixated IOL implantation was performed in patients with inadequate capsular support. Intraocular lens fixation was achieved using suturess. Main parameters evaluated were visual outcomes and complications.

Setting:

Department of Dphthalmology，Wuxi No.2 Hospital of Nangjing Medical University，Wuxi 214000，China

Methods:

Scleral fixated IOL implantation was performed in patients with inadequate capsular support. Intraocular lens fixation was achieved using suturess. Main parameters evaluated were visual outcomes and complications.

Results:

Fifty patients were included in the study (n=30 suture, n=30 sutureless). The most common indication for scleral fixated IOL implantation was cataract surgery complicated with posterior capsule rupture (36/60[60%]). At last follow-up (6 months), CDVA was 20/40 or better in 88% and 84% of patients in the suture and sutureless groups, respectively. Postoperative inflammation (50%vs 12%) and glaucoma (40% vs 15%) were seen more frequently in eyes with sutures as compared to eyes with sutureless. Overall, a significantly higher number of complications were encountered in eyes with suture fixation(17/30 [57%]) compared to eyes with sutureless fixation(8/30 [27%]) (P=0.02).

Conclusions:

Although visual outcomes were similar at the end of 6 months in eyes that underwent suture and sutureless scleral fixated IOL implantation, sutureless was associated with fewer complications.

Financial Disclosure:

NONE