Posters

Scleral sutureless intraocular lens placement in patients with dislocated intraocular lens

Poster Details

First Author: S.Kandarakis GREECE

Co Author(s): P. Petrou   D. Papaconstantinou   A. Diagourtas   C. Koutsandrea   I. Georgalas        

Abstract Details

Purpose:

To describe the technique and initial surgical outcomes of the Carlevale scleral sutureless intraocular lens placement in patients with dislocated intraocular lens.

Setting:

1st Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece

Methods:

A total of 22 patients with dislocated or absent intraocular lens were included in the study. 21 patients were evaluated preoperatively and had dislocated IOL for multiple reasons, including PEX (14 eyes), trauma (4 eyes), Marfan syndrome (2 eyes) and IOL malpostioning (1 eye), and needed replacement; while 1 patient was aphakic. In all patients the Carlevale sutureless IOL was placed either in combination with posterior vitrectomy (15 cases) or without posterior vitrectomy (7 cases).

Results:

3 month postoperative results showed that Visual Acuity improved in all patients after the Carlevale IOL placement (LogMAR 1.3-0.7 preoperatively, to LogMAR 0.2 -0.0 postoperatively) (p<0.005). All patients had well controlled IOP besides 4 patients that required addition of antiglaucoma medication for adequate IOP control. In 4 patients a vitreous haemorrhage was observed in early postoperative period that resolved after the first week. On examination no significant IOL tilting was noted and no major postoperative complications occurred including endophthalmitis, or retinal detachment in any of the cases.

Conclusions:

Carlevale scleral sutureless intraocular lens placement in patients who have either dislocated IOL or are aphakic is a viable alternative option for establishing a pseudophakic status in these patients. The surgical technique requires no suture placement and shows no signs of significant IOL tilting because of the lens special design. The surgical technique may be performed with or without a posterior vitrectomy if not necessary. Early surgical outcomes of this procedure show significant improvement in visual acuity without any major complications, though further studies will be needed in the future to evaluate safety and success of this technique.

Financial Disclosure:

None