Posters

To remove or not to remove (the AC-IOL)? This is the question

Poster Details

First Author: M.Tsatsos GREECE

Co Author(s):    I. Athanasiadis   N. Ziakas                 

Abstract Details

Purpose:

To Assess endothelial graft survival in cases of retained stable AC-IOLs and compare it with endothelial graft survival in cases of combined AC IOL removal, exchange with a PC glued IOL and Endothelial grafting

Setting:

Southampton University Hospital Aristotle University of Thessaloniki Dorset County Hospital

Methods:

We retrospectively reviewed our DSEK, DMEK and PDEK cases associated with the presence of an AC-IOL over a period of 18 months

Results:

there were four eyes undergoing DSEK with a retained AC-IOL (stable but with variable anterior chamber depths) as well as three DSEK and PDEK cases combined with removal of the AC-IOL and posterior placement of a PC-IOL through scleral flaps with and without iridoplasty. In the retained AC-IOL DSEK patients, there was a 25% secondary failure (one in four cases which was associated with shallow AC) over a period of 18 months, whereas in the AC-IOL exchange and replacement with PC-IOL group no secondary failures were noted over the same period for both two PDEK and one DSEK cases.

Conclusions:

Although AC-IOL exchange and PC-IOL scleral fixation combined with DS(A)EK/DMEK or PDEK is a lot more labour-intensive in comparison with endothelial keratoplasty in retained AC-IOL, it may still be a more viable option in terms of graft survival.

Financial Disclosure:

None