Free Papers

Surgical technique for in-the-bag IOL dislocations

Free Paper Details

First Author: S.Kopayev RUSSIA

Co Author(s):    A. Burtseva   I. Ilinskaya                 

Abstract Details

Purpose:

To assess efficacy and safety of suturing of dislocated IOL-capsular bag complex of various severity to the iris in long postop term after phacoemulsification.

Setting:

S.N. Fyodorov Eye Microsurgery Institution, Moscow, Russia

Methods:

Study included 70 patients (70 eyes) who underwent reposition of dislocated in-the-bag IOL to the iris. In all patients we examined VA, IOP, A-scan and endothelial cells density before surgery. Mean age of patients was 77.5 y., preop UCVA was 0.21 (0.01–0.7), preop BCVA was 0.39 (0.01–0.95). Preop IOP was 19.98 mm Hg (7–39 mm Hg). Mean endothelial cells density was 1797 cells / mm2 (753–2337 cells / mm2). Mean eye length was 23.94 mm (22.06–29.1 mm). Mean time between phacoemulsification and IOL dislocation was 90 mo (21–157 mo).

Results:

In all 70 cases suturing to the iris was performed successfully with no dislocation recurrence in postop follow up. In 67 cases surgery went smoothly. In 3 cases there occurred hemorrhagic intraop complications: iris vessels bleeding into the vitreous and in 1 case hemorrhagic uveal detachment occurred 24 h postop. These complications have been managed conservatively. Mean postop UCVA was 0.5 (0.1–1), BCVA was 0.7 (0.2–1). Mean IOP was 17.47 mm Hg (7–30 mm Hg). Mean endothelial cells density was 1777 cells / mm2 (720–2321 cells / mm2).

Conclusions:

This surgical technique is adequate for management of in-the-bag IOL dislocations with intact anterior hyaloid membrane and allows achieving reliable fixation of IOL-capsular bag complex to the iris. Advantages of this technique include short surgery time, sealed eye during the surgery, minimal use of analgesics, quick postop recovery and modest costs incomparable to those of exchange of the dislocated IOL.

Financial Disclosure:

-