Posters

Surgical techniques of IOL-capsular bag complex stabilization during phacoemulsification in patients with lens subluxation

Poster Details

First Author: S.Kopayev RUSSIA

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

Abstract Details

Purpose:

to develop a method of single piece intraocular lens fixation to the iris during phacoemulsification in patients with lens subluxation and to evaluate its results

Setting:

Pirogov Russian National Research Medical University (RNRMU)

Methods:

Group 1 - 18 patients (21 eyes) underwent phacoemulsification with consequent implantation of a capsular tension ring and a single piece IOL into the capsular bag in vertical position, upper haptic was sutured to the iris. Group 2 - 14 patients (16 eyes) underwent phacoemulsification with implantation of a capsular tension ring and a single piece IOL into the capsular bag. In 13 cases (81,3%), 6±1,5 months later, single piece IOL was repositioned and both haptics were sutured to the iris. Visual acuity, IOP were evaluated after surgery. UBM was performed in 6±1,5 months.

Results:

In both groups no intraoperative and early postoperative complications occured. Visual acuity in the group 1 on 1-3 day post-op was 0,77±0,19 and intraocular pressure was 17,2±0,99 mmHg. In group 2 visual acuity on 1-3 day post-op was 0,78±0,18, during the follow-up period visual acuity decreased due to IOL fluctuations and decentration. There was the intraocular pressure increase of 6.0 ± 1.25 mmHg to 24.2 ± 0.65 mmHg, which required an intraocular lens reposition in 81.3% of cases. According to UBM - IOL in all cases was in a central and fixed position.

Conclusions:

The developed method of consequent single piece intraocular lens fixation by suturing the upper haptic to the iris during phacoemulsification in patients with lens subluxation is effective and safe procedure that allow complete rehabilitation of patients with phacodonesis for one surgical step.

Financial Disclosure:

None