Posters
Five year postoperative outcomes of IOL implantation in-the-bag vs optic capture in children up to 4 years of age: randomized, clinical trial
Poster Details
First Author: V.Vasavada INDIA
Co Author(s): A. Vasavada D. Agrawal V. Vasavada V. Nath
Abstract Details
Purpose:
Compare visual axis obscuration (VAO) and complications 5 years postoperatively in children <4 years undergoing cataract surgery with intraocular lens (IOL) implantation using two implantation techniques:in-the-bag IOL with anterior vitrectomy versus optic capture of IOL without anterior vitrectomy.
Setting:
Iladevi Cataract & IOL Research Centre, Raghudeep Eye Hospital, Ahmedabad, Gujarat, India
Methods:
Prospective,randomized,controlled clinical trial including 61 eyes(61 children) undergoing cataract surgery with IOL implantation.Eyes randomized to Group I(n=30):in-the-bag three piece hydrophobic acrylic IOL with anterior vitrectomy,or Group II (n=31):optic capture of three piece hydrophobic acrylic IOL without anterior vitrectomy.Children stratified based on age: <1 year and >1 year to <4 years.Five years postoperatively, VAO, glaucoma, other complications compared between groups.Eyes needing additional surgical procedures were documented.
Results:
Mean age at surgery in Groups I and II was:14.8+11.47 and 18.2+11.47 months.In 5 eyes in Group II,IOL could not be captured.1 eye in Group I developed a VAO needing membranectomy at 4 months follow-up. Two eyes in Group I and none in Group II developed glaucoma until 36 months(p=0.49). Incidence of cell deposits on IOL and posterior synechiae were comparable between groups until 60 months follow-up. No complications occurred in eyes where capture could not be performed. 5 year results will be updated
Conclusions:
Optic capture of three piece hydrophobic acrylic IOL maintains clear visual axes with an acceptable rate of complications even 5 years postoperatively. Optic capture of IOL may eliminate the need for vitrectomy in children <4 years of age.
Financial Disclosure:
None
